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

St Clair Shores Obstetrics and Gynecolgy, PLC

Organization Obstetrics & Gynecology Physician · NPI 1164535886

St Clair Shores Obstetrics and Gynecolgy, PLC is an Obstetrics & Gynecology Physician in Saint Clair Shores, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

19714 E 10 Mile Rd
Saint Clair Shores, MI 48080-1064
Phone: (586) 779-9400
Fax: (586) 779-8949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1164535886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Constantine Raphtis — Member · (586) 779-9400
Other names Shores Ob/Gyn
NPI enumeratedAugust 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address19714 Ten Mile Road, St Clair Shores, MI 48080

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