Organization · Type 2 NPI
Detroit Integrated Care
Addiction Medicine (Family Medicine) Physician · Southfield, MI
NPI number
1104706175
Active
Practice location
29532 Southfield Rd Ste 115
Southfield, MI 48076-2023
Mailing address
2940 Crooks Rd
Royal Oak, MI 48073-3278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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Other addiction medicine (family medicine) physician providers in Southfield
About NPI 1104706175
Detroit Integrated Care's National Provider Identifier is 1104706175, issued on Sep 2, 2025. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Southfield, MI. The record was last updated on May 22, 2026.