Healthcare Provider Details

I. General information

NPI: 1477436293
Provider Name (Legal Business Name): THRIVE ENDOCRINOLOGY & DIABETES CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 W EISENHOWER PKWY STE 200
ANN ARBOR MI
48103-6196
US

IV. Provider business mailing address

3588 PLYMOUTH RD # 302
ANN ARBOR MI
48105-2603
US

V. Phone/Fax

Practice location:
  • Phone: 734-888-6712
  • Fax:
Mailing address:
  • Phone: 617-615-9094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: XIN N/A HE
Title or Position: ENDOCRINOLOGIST
Credential:
Phone: 617-615-9094