Michigan Warriors

Specialty details in registry · Detroit, MI

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At a glance

8633 Southfield Fwy, Detroit, MI 48228-1975

NPPES record updated Jul 2, 2026. Public records can lag behind changes at a practice.

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Practice location

8633 Southfield Fwy
Detroit, MI 48228-1975

Professional details: NPI, taxonomy & registry record

NPI1124910492

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251S00000X
Enumeration date: Jul 19, 2025
Record updated: Jul 2, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

172V00000X

Specialty details in registry

251B00000X

Specialty details in registry

251S00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

8633 Southfield Fwy
Detroit, MI 48228-1975

Phone: (313) 444-4192

Mailing address

PO BOX 227

EASTPOINTE, MI 480210227

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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