MICHIGAN WELLNESS 1 LLC (NPI# 1437711595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437711595 |
Entity Type | Organization |
Organization Name | MICHIGAN WELLNESS 1 LLC |
Practice Address |
18455 James Couzens Fwy Detroit MI 48235-2506 |
Mailing Address |
3500 E Jefferson Ave Apt 524 Detroit MI 48207-4479 |
Practice Telephone | 3132048911 |
Enumeration Date | 2019-06-28 |
Last Update Date | 2019-06-28 |
Authorized Official Name | CYNTHIA MUHAMMAD (CEO) |
Authorized Official Telephone | 3132048911 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
18455 JAMES COUZENS FWY |
City | DETROIT |
State | MI |
Zip Code | 48235-2506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114024486 | Cc Griggs Holding, Ltd. | Internal Medicine | 18455 James Couzens Fwy, Detroit, MI 48235-2506 | 2006-09-20 |
1154421774 | Cynthia Claudine Griggs | Internal Medicine | 18455 James Couzens Fwy, Detroit, MI 48235 | 2006-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
Find all providers in zip 48235 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750787784 | Halo Primary Care Pllc | Clinic/Center | 1535 E State Fair, Detroit, MI 48203-1257 | 2014-11-19 |
1770871154 | Hilal D Elia M.d., P.c | Clinic/Center | 950 E State Fair, Detroit, MI 48203-1273 | 2011-07-19 |
1417257510 | Medical Missionary Management PC | Clinic/Center | 1002 Seminole St, Detroit, MI 48214-2707 | 2010-10-25 |
1023349578 | Health Care Medical Center PC | Clinic/Center | 17141 Hayes St, Detroit, MI 48205-3559 | 2010-01-22 |
1558538132 | David O Washington Mdpc | Clinic/Center | 19251 Bretton Dr, Detroit, MI 48223-1363 | 2008-05-13 |
1356510085 | Detroit Medical Center | Clinic/Center | 4201 Saint Antoine St Ste 2e, Detroit, MI 48201-2153 | 2008-02-27 |
1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
1124226428 | The Dr. Albert B. Cleage, Sr. Memorial Health Center | Clinic/Center | 700 Seward St, Detroit, MI 48202-2427 | 2007-07-07 |
1942357959 | Dean Clinic, P.C. | Clinic/Center | 4140 E 8 Mile Rd, Detroit, MI 48234-1014 | 2007-01-04 |
1437710563 | Kancc Medical P.l.c. | Clinic/Center | 17331 Mack Ave, Detroit, MI 48224-2250 | 2019-06-28 |
Find all providers in DETROIT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.