MICHIGAN WELLNESS 1 LLC


Address: 18455 James Couzens Fwy, Detroit, MI 48235-2506
Phone: 3132048911

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 18455 JAMES COUZENS FWY
City DETROIT
State MI
Zip Code 48235-2506

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City DETROIT
Zip Code 48235

Improve Information

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Dataset Information

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.

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