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NPI 1619673886 · live from the CMS NPI Registry

Accompany Medical Group Of Michigan, P.C.

Internal Medicine in Detroit, MI. National Provider Identifier 1619673886, active.

NPI record

NPI1619673886 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location2111 Woodward Ave Ste 1200, Detroit, MI 48201
Practice phone313-488-4332
Mailing address4550 Montgomery Ave # 3, Bethesda, MD 20814
EnumeratedJanuary 31, 2023
Last updatedOctober 31, 2024
Authorized officialEllen Weinstein, General Counsel

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist103T00000X—
Psychologist, Addiction (Substance Use Disorder)103TA0400X—
Family Medicine207Q00000X—
Family Medicine, Geriatric Medicine207QG0300X—
Internal Medicine primary207R00000X—
Internal Medicine, Geriatric Medicine207RG0300X—
Psychiatry & Neurology, Addiction Medicine2084A0401X—
Psychiatry & Neurology, Psychiatry2084P0800X—
Physician Assistant363A00000X—
Nurse Practitioner, Psych/Mental Health363LP0808X—
Nurse Practitioner, Primary Care363LP2300X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.