DETROIT MEDICAL CLINIC PC
NPI 1245244110
Clinic/Center in Detroit, MI

Active since July 28, 2006
4059 W DAVISON, DETROIT, MI 48238(313) 491-5400(313) 491-8123 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Detroit Medical Clinic Pc NPPES

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

DETROIT MEDICAL CLINIC PC (NPI 1245244110) is a healthcare organization registered as a clinic/center in Detroit, Michigan and active in the NPI registry since July 2006. The organization lists Alex-abbey Akinwumi, President, as its authorized official.

NPPES Registry Identity

NPI1245244110
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDETROIT MEDICAL CLINIC PC
Location Address4059 W DAVISONDetroit, MI 48238-3262
Mailing Address4059 W . DavisonDetroit, MI 48238 · (313) 491-5400 · Fax (313) 491-8123
Fax(313) 491-8123
Organization SubpartNo
Authorized OfficialAlex-abbey AkinwumiPresident · (313) 491-5400
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1245244110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in MI · 4301071164
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4059 W DAVISON, Detroit, MI 48238

Other Identifiers 1

Medicaid4488126MI

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4059 W DAVISON
DETROIT, MI 48238
Internal Medicine
4059 W DAVISON
DETROIT, MI 48238
Pharmacy
4059 W DAVISON
DETROIT, MI 48238

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 Detroit Medical Clinic PC's NPI number?

The NPI number for Detroit Medical Clinic PC is 1245244110. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Detroit Medical Clinic PC located?

Detroit Medical Clinic PC is located at 4059 W Davison, Detroit, MI 48238. The listed phone number is (313) 491-5400.

What is Detroit Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Detroit Medical Clinic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.