Organization · Type 2 NPI

Premise Health of Michigan Medical PC

Multi-Specialty Clinic/Center · Troy, MI

NPI number 1003550054 Active

Practice location

1760 Maplelawn Dr
Troy, MI 48084-4604

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1003550054

Premise Health of Michigan Medical PC's National Provider Identifier is 1003550054, issued on Apr 26, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Troy, MI. The record was last updated on Mar 9, 2026.