Organization · Type 2 NPI

Premise Health of Michigan Medical PC

General Practice Physician · Detroit, MI

NPI number 1619529336 Active

Practice location

660 Woodward Ave
Detroit, MI 48226-3516

Call (313) 457-9355 Map

Fax (313) 447-2444

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Chiropractor 111N00000XNone listed
General Practice Physician Primary 208D00000XNone listed
Physical Therapist 225100000XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

5 other providers at this address

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About NPI 1619529336

Premise Health of Michigan Medical PC's National Provider Identifier is 1619529336, issued on Jul 12, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Detroit, MI. The record was last updated on Feb 12, 2026.