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Professional Obgyn PC

Obstetrics & Gynecology Physician in Walled Lake, MI · enumerated 2007 · authorized official Roger Kushner, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477602480

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Obgyn PC
Practice address 55 N Pond Dr, Suite 2, Walled Lake, MI, 48390
Phone (248) 624-3366
Fax (248) 624-0127
Enumeration date Jan 9, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Roger Kushner
Title President
Phone (248) 476-4900

Other identifiers

Identifier Type State Issuer
0H24970 Other MI BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Professional Obgyn PC?
The NPI for Professional Obgyn PC is 1477602480, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Professional Obgyn PC?
NPPES lists Roger Kushner (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.