Healthcare Provider Details

I. General information

NPI: 1912823980
Provider Name (Legal Business Name): MOTOR CITY ORTHOPEDICS DURABLE MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26750 PROVIDENCE PKWY STE 240
NOVI MI
48374-1211
US

IV. Provider business mailing address

26750 PROVIDENCE PKWY STE 240
NOVI MI
48374-1211
US

V. Phone/Fax

Practice location:
  • Phone: 248-687-7440
  • Fax: 248-687-7441
Mailing address:
  • Phone: 248-687-7440
  • Fax: 248-687-7441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: PHILIP SHAHEEN
Title or Position: REPRESENTATIVE
Credential: MD
Phone: 248-687-7440