A New Beginning

Specialty details in registry · Detroit, MI

Call (248) 631-8517 Directions

At a glance

2690 West Boston Blvd, Detroit, MI 48206-1751

NPPES record updated Aug 14, 2015. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

2690 West Boston Blvd
Detroit, MI 48206-1751
Professional details: NPI, taxonomy & registry record
NPI1730555640
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM0850X
Enumeration date
Aug 14, 2015
Record updated
Aug 14, 2015
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM0850X · Primary

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

Practice location

2690 West Boston Blvd
Detroit, MI 48206-1751
Phone
(248) 631-8517
Mailing address
PO BOX 250131

WEST BLOOMFIELD, MI 48325
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Information may be outdated or incomplete.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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