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

Envision Medical Group PLLC

Organization Registered Dietitian · NPI 1578891750

Envision Medical Group PLLC is a Registered Dietitian in Northville, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
Specialties on file
7
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

42931 7 Mile Rd
Northville, MI 48167-2277
Phone: (248) 348-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Registered Dietitian Taxonomy 133V00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X
Clinical Medical Laboratory Taxonomy 291U00000X · Licence 23D0368331 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1578891750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Wayne — Managing Member · (248) 741-6909
NPI enumeratedNovember 25, 2009
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021
Mailing addressPo Box 27420, Belfast, ME 04915-2026

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