Healthcare Provider Details

I. General information

NPI: 1033901723
Provider Name (Legal Business Name): MICHIGAN HEALTH PRACTICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27750 MIDDLEBELT RD STE 100
FARMINGTON HILLS MI
48334-5006
US

IV. Provider business mailing address

27750 MIDDLEBELT RD STE 100
FARMINGTON HILLS MI
48334-5006
US

V. Phone/Fax

Practice location:
  • Phone: 248-702-5050
  • Fax: 877-408-1039
Mailing address:
  • Phone: 248-702-5050
  • Fax: 877-408-1039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN MAAROUF
Title or Position: OWNER
Credential: DO
Phone: 586-994-1816