Healthcare Provider Details

I. General information

NPI: 1245188051
Provider Name (Legal Business Name): CROWNWOOD INTEGRATIVE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27733 JOHN R RD # 168
MADISON HEIGHTS MI
48071-3368
US

IV. Provider business mailing address

27733 JOHN R RD # 168
MADISON HEIGHTS MI
48071-3368
US

V. Phone/Fax

Practice location:
  • Phone: 248-617-0257
  • Fax:
Mailing address:
  • Phone: 248-617-0257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY SHEN
Title or Position: OWNER
Credential: DO
Phone: 248-617-0257