Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Huron OB GYN PLLC

Organization Obstetrics & Gynecology Physician · NPI 1013095173

Lake Huron OB GYN PLLC is an Obstetrics & Gynecology Physician in Bad Axe, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1005 S Van Dyke Rd
Bad Axe, MI 48413-9614
Phone: (989) 269-3923
Fax: (989) 269-3983
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence NK013377 (MI)

Record details

NPI number1013095173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Macchiarella — Owner · (989) 269-3923
NPI enumeratedNovember 2, 2006
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021
Mailing address1005 S Van Dyke Rd, Bad Axe, MI 48413-9614

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