Healthcare Provider Details

I. General information

NPI: 1265411490
Provider Name (Legal Business Name): JOSEPH J METES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22101 MOROSS RD
DETROIT MI
48236-2148
US

IV. Provider business mailing address

51307 GRATIOT AVE
CHESTERFIELD MI
48051-2079
US

V. Phone/Fax

Practice location:
  • Phone: 586-741-3772
  • Fax: 586-741-4604
Mailing address:
  • Phone: 586-741-3772
  • Fax: 586-741-4604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4301041285
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number4301041285
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: