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REVOLUTION WELLNESS
NPI 1073842241
Internal Medicine in Shelby Township, MI

Active since December 16, 2009
51850 DEQUINDRE RD STE 2, SHELBY TOWNSHIP, MI 48316(586) 323-0301 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Revolution Wellness NPPES

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

REVOLUTION WELLNESS (NPI 1073842241) is a healthcare organization registered as an internal medicine in Shelby Township, Michigan and active in the NPI registry since December 2009. The organization lists Chadi Mansour, Physician, as its authorized official.

NPPES Registry Identity

NPI1073842241
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMACOMB PRIMARY CARE PC
Location Address51850 DEQUINDRE RD STE 2Shelby Township, MI 48316-2806
Mailing AddressPo Box 3272Saginaw, MI 48605-3272 · (989) 797-1400 · Fax (989) 797-4077
Phone(586) 323-0301
Organization SubpartNo
Authorized OfficialChadi MansourPhysician · (586) 323-0301
Enumeration DateDecember 16, 2009
Last NPPES UpdateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1073842241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301077635
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
51850 DEQUINDRE RD STE 2, Shelby Township, MI 48316
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Other Names 1

Doing Business AsRevolution Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Macomb Primary Care PC's NPI number?

The NPI number for Macomb Primary Care PC is 1073842241. It was assigned to this organization in the NPPES registry on December 16, 2009. The provider is doing business as Revolution Wellness.

Where is Macomb Primary Care PC located?

Macomb Primary Care PC is located at 51850 Dequindre Rd Ste 2, Shelby Township, MI 48316. The listed phone number is (586) 323-0301.

What is Macomb Primary Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Macomb Primary Care PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Macomb Primary Care PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Macomb Primary Care PC was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.