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

Walnut Lake OBGYN PLLC

Organization Obstetrics & Gynecology Physician · NPI 1942340187

Walnut Lake OBGYN PLLC is an Obstetrics & Gynecology Physician in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2300 Haggerty Rd Ste 2070
West Bloomfield, MI 48323-2184
Phone: (248) 926-2020
Fax: (248) 926-9020
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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 · Licence AG035173 (MI)

Record details

NPI number1942340187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Goldsmith — Partner · (248) 926-2020
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJune 18, 2010
Mailing address2300 Haggerty Rd, Ste 2070, West Bloomfield, MI 48323-2190

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