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

Macomb Primary Care PC

Organization Internal Medicine Physician · NPI 1073842241

Macomb Primary Care PC is an Internal Medicine Physician in Shelby Township, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

51850 Dequindre Rd Ste 2
Shelby Township, MI 48316-2806
Phone: (586) 323-0301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301077635 (MI)

Record details

NPI number1073842241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chadi Mansour — Physician · (586) 323-0301
Other names Revolution Wellness
NPI enumeratedDecember 16, 2009
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021
Mailing addressPo Box 3272, Saginaw, MI 48605-3272

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