Healthcare Provider Details

I. General information

NPI: 1902739618
Provider Name (Legal Business Name): THE COMPLETE FAMILY CARES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43956 MOUND RD
STERLING HEIGHTS MI
48314-2034
US

IV. Provider business mailing address

43956 MOUND RD
STERLING HEIGHTS MI
48314-2034
US

V. Phone/Fax

Practice location:
  • Phone: 586-838-2464
  • Fax: 866-559-1249
Mailing address:
  • Phone: 586-838-2464
  • Fax: 866-559-1249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DONNA MARIE KOTCHER
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 248-227-0567