Organization · Type 2 NPI

Trinity Health Michigan

Family Medicine Physician · Detroit, MI

NPI number 1942333786 Active

Practice location

5555 Conner St, Ste. 2691
Detroit, MI 48213-3448

Fax (313) 692-8431

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Adult Medicine Physician	207QA0505X	None listed
Nurse Practitioner	363L00000X	None listed
Primary Care Nurse Practitioner	363LP2300X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

61 other providers at this address

Other family medicine physician providers in Detroit

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NPI record

NPI: 1942333786
Entity type: Organization (Type 2)
Issued: Mar 13, 2007
Last updated: Jun 8, 2017
Status: Active
Subpart: Yes of Trrinty Health Michigan

Other names

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Mercy Primary Care Center · doing business as

Authorized official

Ms. Tawana L Nettles-Robinson
Executive Director
(313) 692-8400

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942333786

Trinity Health Michigan's National Provider Identifier is 1942333786, issued on Mar 13, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 8, 2017.