Healthcare Provider Details

I. General information

NPI: 1699659185
Provider Name (Legal Business Name): ALLENWOOD FAMILY HEALTH CARE II PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11368 ALLEN RD
TAYLOR MI
48180-4372
US

IV. Provider business mailing address

11368 ALLEN RD
TAYLOR MI
48180-4372
US

V. Phone/Fax

Practice location:
  • Phone: 734-403-2222
  • Fax: 734-403-2400
Mailing address:
  • Phone: 734-403-2222
  • Fax: 734-403-2400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. MALLORY ELIZABETH REED
Title or Position: NURSE PRACTITIONER
Credential: FNP-BC
Phone: 248-565-7494