Provider Demographics
NPI:1033901723
Name:MICHIGAN HEALTH PRACTICE PLLC
Entity type:Organization
Organization Name:MICHIGAN HEALTH PRACTICE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAAROUF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-994-1816
Mailing Address - Street 1:27750 MIDDLEBELT RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-5006
Mailing Address - Country:US
Mailing Address - Phone:248-702-5050
Mailing Address - Fax:877-408-1039
Practice Address - Street 1:27750 MIDDLEBELT RD STE 100
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-5006
Practice Address - Country:US
Practice Address - Phone:248-702-5050
Practice Address - Fax:877-408-1039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care