Organization · Type 2 NPI

Elite Sports & Regenerative Medicine PLLC

Sports Medicine (Family Medicine) Physician · Dearborn, MI

NPI number 1619863933 Active

Practice location

1022 N Telegraph Rd Ste 2
Dearborn, MI 48128-1622

Fax (313) 254-3586

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010XNone listed

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…

Another provider at this address

About NPI 1619863933

Elite Sports & Regenerative Medicine PLLC's National Provider Identifier is 1619863933, issued on Jun 13, 2025. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Dearborn, MI. The record was last updated on Jun 13, 2025.