Healthcare Provider Details

I. General information

NPI: 1811508229
Provider Name (Legal Business Name): AOUN MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2020
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 W VERNOR HWY
DETROIT MI
48209-2180
US

IV. Provider business mailing address

5901 W VERNOR HWY
DETROIT MI
48209-2180
US

V. Phone/Fax

Practice location:
  • Phone: 248-215-0048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMAL M AOUN
Title or Position: OWNER
Credential: DO
Phone: 313-554-4357