Organization · NPI-2

Accompany Medical Group Of Michigan, P.C.

Internal Medicine · Detroit, MI

NPI number1619673886

StatusActive

Last updated in NPPESOct 31, 2024

Details

NPI: 1619673886
Entity type: Organization (NPI-2)
Legal business name: Accompany Medical Group Of Michigan, P.C.
Organization subpart: No
Enumeration date: Jan 31, 2023
Certification date: Oct 28, 2024
Last updated: Oct 31, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
103T00000X	Psychologist	–	–
103TA0400X	Psychologist, Addiction (Substance Use Disorder)	–	–
207Q00000X	Family Medicine	–	–
207QG0300X	Family Medicine, Geriatric Medicine	–	–
207RG0300X	Internal Medicine, Geriatric Medicine	–	–
2084A0401X	Psychiatry & Neurology, Addiction Medicine	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
363A00000X	Physician Assistant	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–
363LP2300X	Nurse Practitioner, Primary Care	–	–

Practice location

2111 Woodward Ave Ste 1200
Detroit, MI 48201-3415

Phone 313-488-4332 · Fax 313-488-4332

Mailing address

4550 Montgomery Ave # 3
Bethesda, MD 20814-3304

Phone 301-375-0166

Authorized official

Ellen Weinstein
General Counsel
3013750166

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