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

Icon Anti-Aging and Aesthetics PLLC

Organization Health Service Clinic/Center · NPI 1134977911

Icon Anti-Aging and Aesthetics PLLC is a Health Service Clinic/Center in Birmingham, Michigan. Registered with an NPI since 2024.

In the registry since
2024
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

555 S Old Woodward Ave Ste 700
Birmingham, MI 48009-6607
Phone: (248) 821-4332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1134977911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Zayid — Medical Director · (248) 436-4002
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address555 S Old Woodward Ave Ste 700, Birmingham, MI 48009-6607

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