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

Detroit Medical Center

Organization Surgical Physician Assistant · NPI 1770869257

Detroit Medical Center is a Surgical Physician Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011

Practice location Address checks out

4201 Saint Antoine St Ste 6A Drh University Health Center
Detroit, MI 48201-2153
Phone: (313) 745-4230
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601006086 (MI)

Record details

NPI number1770869257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Kelley — Manager, Credentialing And Enrollme · (313) 993-6080
NPI enumeratedOctober 27, 2011
Last updated in NPPESOctober 27, 2011
Mailing address24131 Princeton St, Dearborn, MI 48124-3264

Other providers in Detroit