# MICHIGAN PREVENTIVE CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1972467694
- **Authorized official:** ALI MEHIEDDINE NASSRI (NP)
- **Authorized official phone:** (313) 903-1776

## Contact information

- **Practice address:** 30425 INDUSTRIAL RD, LIVONIA, MI 48150-2019
- **Practice address phone:** (313) 903-1776
- **Practice address fax:** (570) 243-0995
- **Mailing address:** 30425 INDUSTRIAL RD, LIVONIA, MI 48150-2019
- **Mailing address phone:** (313) 903-1776
- **Mailing address fax:** (570) 243-0995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2025
- **Last updated:** 02/02/2026