Organization · Type 2 NPI

Recovery Mobile Clinic

Acute Care Nurse Practitioner · Wixom, MI

NPI number 1902431653 Active

Practice location

4706 Product Dr Ste 1
Wixom, MI 48393-2071

Mailing address

7111 Dixie Hwy # 142
Clarkston, MI 48346-2077

Other practice locations

  • 1188 Wheaton Dr, Troy, MI 48083-1953 · (248) 567-2334

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XNone listed
Acute Care Nurse Practitioner Primary 363LA2100XNone listed

Acute Care Nurse Practitioner: Definition to come...

About NPI 1902431653

Recovery Mobile Clinic's National Provider Identifier is 1902431653, issued on Mar 3, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Wixom, MI. The record was last updated on Dec 3, 2025.