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NPI Code Detail

MEDICARE: MICHIGAN HEALTHCARE PROFESSIONALS, P.C.

MEDICARE: MICHIGAN HEALTHCARE PROFESSIONALS, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251S0007XSports Physical Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1316757446
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHIGAN HEALTHCARE PROFESSIONALS, P.C.
Provider Business Mailing Address
First Line : 29992 NORTHWESTERN HWY STE C
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334-3292
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1213 MASON ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2841
Country : US
Telephone Number : 313-572-7771
Fax Number : 313-572-7484
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : KRISTIE GRIMMETT
Credential : ADMIN
Telephone Number : 248-780-6615
Provider Enumeration Date : 01/10/2025
Last Update Date : 03/23/2026

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Directions to “MICHIGAN HEALTHCARE PROFESSIONALS, P.C. ” Practice Location

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