Organization · Type 2 NPI
Proactive MD Mi PLLC
Primary Care Clinic/Center · Bruce Township, MI
NPI number
1255106498
Active
Practice location
164 Mclean
Bruce Township, MI 48065-4919
Mailing address
86 Villa Rd Ste 100
Greenville, SC 29615-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1255106498
Proactive MD Mi PLLC's National Provider Identifier is 1255106498, issued on Nov 17, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bruce Township, MI. The record was last updated on Sep 2, 2026.