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

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician Primary 207QA0401XNone listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

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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.