Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aesthetic Theory PC

Organization Obesity Medicine (Preventive Medicine) Physician · NPI 1619794369

Aesthetic Theory PC is an Obesity Medicine (Preventive Medicine) Physician in Lake Orion, Michigan. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3631 S Baldwin Rd
Lake Orion, MI 48359-1506
Phone: (248) 499-9106
Fax: (248) 294-1351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15300 Kercheval Ave, Grosse Pointe Park, MI 48230-1336 — (313) 492-3787

Specialties & licences

Obesity Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083B0002X

Record details

NPI number1619794369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Malaz Alatassi — Physician · (248) 953-0526
Other names Aesthetic Theory Medspa
NPI enumeratedSeptember 24, 2024
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing address3631 S Baldwin Rd, Lake Orion, MI 48359-1506