Individual provider · Type 1 NPI
Joseph Lee Medellin, MD
Sports Medicine (Family Medicine) Physician · Troy, MI
Practice location
801 W Big Beaver Rd Ste 300
Troy, MI 48084-4725
Fax (855) 850-4055
Mailing address
4442 Peninsula Dr
Jackson, MI 49201-7803
Other practice locations
- 4442 Peninsula Dr, Jackson, MI 49201-7803 · (209) 401-9254
- 6595 Hamilton Ave, Pittsburgh, PA 15206-4147 · (810) 331-0939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301500490 (MI) |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 4301500490 (MI) |
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | 4301500490 (MI) |
| Family Medicine Physician | 207Q00000X | MD464546 (PA) |
Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…
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About NPI 1487073433
Joseph Lee Medellin, MD's National Provider Identifier is 1487073433, issued on Apr 7, 2014. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Troy, MI. The record was last updated on Oct 23, 2025.