Organization · Type 2 NPI

Premise Health of Michigan Medical PC

Multi-Specialty Clinic/Center · Detroit, MI

NPI number 1790356764 Active

Practice location

13440 W Outer Dr
Detroit, MI 48239-1309

Call (313) 324-8180 Map

Fax (312) 324-8186

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1790356764

Premise Health of Michigan Medical PC's National Provider Identifier is 1790356764, issued on Jul 9, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Detroit, MI. The record was last updated on Feb 17, 2026.