Healthcare Provider Details

I. General information

NPI: 1962572404
Provider Name (Legal Business Name): MEDICAL CARE OF MICHIGAN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 W 7 MILE RD
DETROIT MI
48221-1963
US

IV. Provider business mailing address

10330 W 7 MILE RD
DETROIT MI
48221-1963
US

V. Phone/Fax

Practice location:
  • Phone: 248-730-0297
  • Fax:
Mailing address:
  • Phone: 248-730-0297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN SINGLETON
Title or Position: OWNER
Credential: M D
Phone: 248-730-0297