Michigan Preventive Care
Internal Medicine in Livonia, MI. Organization (NPI-2).
NPI number1972467694
StatusActive
Last updated in NPPESFeb 2, 2026
Details
- NPI
- 1972467694
- Entity type
- Organization (NPI-2)
- Legal business name
- Michigan Preventive Care
- Organization subpart
- No
- Enumeration date
- Dec 16, 2025
- Certification date
- Feb 2, 2026
- Last updated
- Feb 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
30425 Industrial RdLivonia, MI 48150-2019
Phone 313-903-1776 · Fax 570-243-0995
Mailing address
30425 Industrial RdLivonia, MI 48150-2019
Phone 313-903-1776 · Fax 570-243-0995
Authorized official
Ali Mehieddine Nassri
NP
3139031776
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