# ABBOTT MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659370724
- **Authorized official:** DR. VALERIE ABBOTT MD (OWNER)
- **Authorized official phone:** (313) 341-4800

## Contact information

- **Practice address:** 19830 JAMES COUZENS FWY, SUITE B, DETROIT, MI 48235-1938
- **Practice address phone:** (313) 341-4800
- **Practice address fax:** (313) 341-4848
- **Mailing address:** PO BOX 44047, DETROIT, MI 48244-0047
- **Mailing address phone:** (313) 341-4800
- **Mailing address fax:** (313) 341-4848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301060096 | MI | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 05/20/2009