Organization
ACCOMPANY MEDICAL GROUP OF MICHIGAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN WEINSTEIN (GENERAL COUNSEL)
(301) 375-0166
Entity
Organization
Contact information
Practice address
2111 WOODWARD AVE STE 1200, DETROIT, MI 48201-3415
(313) 488-4332
(313) 488-4332
Mailing address
4550 MONTGOMERY AVE # 3, BETHESDA, MD 20814-3304
(301) 375-0166
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
01/31/2023
Last updated
10/31/2024
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