Organization · Type 2 NPI
Premise Health of Michigan Medical PC
Multi-Specialty Clinic/Center · Southfield, MI
NPI number
1972435089
Active
Practice location
23500 Northwestern Hwy Rm S-100
Southfield, MI 48075-3301
Fax (248) 281-9751
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1972435089
Premise Health of Michigan Medical PC's National Provider Identifier is 1972435089, issued on Jun 2, 2026. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Southfield, MI. The record was last updated on Jun 2, 2026.