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Omega Specialty Group Plc

Family Medicine in Detroit, MI. Organization (NPI-2).

NPI number1841081908
StatusActive
Last updated in NPPESMay 16, 2025

Details

NPI
1841081908
Entity type
Organization (NPI-2)
Legal business name
Omega Specialty Group Plc
Organization subpart
No
Enumeration date
May 16, 2025
Certification date
May 16, 2025
Last updated
May 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
261QP3300X Clinic/Center, Pain––

Practice location

18570 Grand River Ave Ste 102
Detroit, MI 48223-2201

Phone 313-646-4681 · Fax 313-646-4687

Mailing address

18570 Grand River Ave Ste 102
Detroit, MI 48223-2201

Phone 313-646-4681 · Fax 313-646-4687

Authorized official

Michael Carter
Owner
3136465180

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