MOTOWN RESIDENTIAL PHYSICIAN PLLC
NPI 1053647131
Family Medicine in Waterford, MI

Active since October 26, 2009
852 CEDARGATE CT, WATERFORD, MI 48328(248) 659-7576 Get Directions Write a Review

NPPES record last updated: June 3, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Motown Residential Physician Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOTOWN RESIDENTIAL PHYSICIAN PLLC (NPI 1053647131) is a healthcare organization registered as a family medicine in Waterford, Michigan and active in the NPI registry since October 2009. The organization lists Linda Evans, Billing/credentialing, as its authorized official.Information from the official NPPES registry record, last updated June 3, 2010.

NPPES Registry Identity

NPI1053647131
Entity TypeOrganization
Legal Business NameMOTOWN RESIDENTIAL PHYSICIAN PLLC
Location Address852 CEDARGATE CTWaterford, MI 48328-2606
Mailing Address852 Cedargate CtWaterford, MI 48328-2606 · (248) 659-7576
Organization SubpartNo
Authorized OfficialLinda EvansBilling/credentialing · (248) 476-6385
Enumeration DateOctober 26, 2009
Last NPPES UpdateJune 3, 2010
NPI 1053647131 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Family Medicine

Taxonomy 207Q00000X · Allopathic & Osteopathic Physicians

Licensed in MI · 023784

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the… Show more

852 CEDARGATE CT, Waterford, MI 48328

Also on File with NPPES

Group Practice1
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization. (193200000X MULTI-SPECIALTY GROUP)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053647131, enumerated as an "organization" on October 26, 2009.

The provider is located at 852 CEDARGATE CT WATERFORD, MI 48328 and the phone number is (248) 659-7576.

Family Medicine with taxonomy code 207Q00000X.