Provider Demographics
NPI:1679657613
Name:WOMEN TO WOMEN HEALTH CENTER PC
Entity type:Organization
Organization Name:WOMEN TO WOMEN HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE MARIE
Authorized Official - Middle Name:BORWOSKI
Authorized Official - Last Name:MCCARREN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-771-4780
Mailing Address - Street 1:23715 LITTLE MACK AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-1181
Mailing Address - Country:US
Mailing Address - Phone:586-771-4780
Mailing Address - Fax:586-771-8447
Practice Address - Street 1:23715 LITTLE MACK AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-1181
Practice Address - Country:US
Practice Address - Phone:586-771-4780
Practice Address - Fax:586-771-8447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301058045207V00000X
MI430163747207V00000X
MI4301078217207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI160E061990OtherW2WHC BCBS GROUP
MI3517415Medicaid
MI0500251OtherMCCARREN BCBS PIN
MI0501712OtherTANEJA BCBS PIN
MI16874OtherFLOM MCARE PIN
MI4780830Medicaid
MI0500715OtherFLOM BCBS PIN
MI108138OtherMCCARREN CARE CHOICES
MIM024332OtherMCCARREN CHAMPUS ID
MI124236OtherFLOM CARE CHOICES PIN
MI141574OtherTANEJA CARE CHOICES PIN
MI3519406Medicaid
MIC4043OtherMCCARREN MCARE PIN
MI16874OtherFLOM MCARE PIN
MIG75061Medicare UPIN
MI0E06199010Medicare ID - Type UnspecifiedTANEJA MCR ID
MI0501712OtherTANEJA BCBS PIN
MIC4043OtherMCCARREN MCARE PIN
MI4780830Medicaid
MI124236OtherFLOM CARE CHOICES PIN