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NPI Code Detail

MEDICARE: TEAM CARES INC

MEDICARE: TEAM CARES INC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1568773158
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEAM CARES INC
Provider Business Mailing Address
First Line : PO BOX 81088
Second Line :
City : ROCHESTER
State : MI
Zip : 48308-1088
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3646 MOUNT ELLIOTT ST
Second Line :
City : DETROIT
State : MI
Zip : 48207-2311
Country : US
Telephone Number : 313-626-2400
Fax Number :
Authorized Official
Title or Position : SECRETARY/TREASURER
Name : MR. JOHN DERY
Credential :
Telephone Number : 248-310-6338
Provider Enumeration Date : 06/29/2010
Last Update Date : 02/06/2025

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Directions to “TEAM CARES INC ” Practice Location

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