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

St Clair Shores Obstetrics and Gynecology, PLC

Organization Obstetrics & Gynecology Physician · NPI 1710065354

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

In the registry since
2006

Practice location Address checks out

46591 Romeo Plank Rd Ste 225
Macomb, MI 48044-5742
Phone: (586) 226-6155
Fax: (586) 226-6160
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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 number1710065354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Constantine Raphtis — Member · (586) 779-9400
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address19714 Ten Mile Road, St Clair Shores, MI 48080

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