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

Detroit Area Agency on Aging

Organization Internal Medicine Physician · NPI 1134725427

Detroit Area Agency on Aging is an Internal Medicine Physician in Detroit, Michigan. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1333 Brewery Park Blvd Ste 200
Detroit, MI 48207-4544
Phone: (313) 446-4444
Fax: (313) 446-4451
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1134725427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wanda Bowman — Director Of Finance · (313) 446-4444
NPI enumeratedDecember 10, 2020
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address1333 Brewery Park Blvd Ste 200, Detroit, MI 48207-4544

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