Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Medical Group Practice, PC

Organization Family Medicine Physician · NPI 1801925201

Medical Group Practice, PC provides Family Medicine Physician services in Livonia, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2
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

9460 Middlebelt Rd
Livonia, MI 48150-3059 Not confirmed with CMS for 17 years — call before visiting
Phone: (734) 425-0500
Fax: (734) 425-1002
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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 · Licence 5101005940 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101004910 (MI)

Record details

NPI number1801925201
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Penn — Owner · (734) 425-0500
NPI enumeratedMarch 4, 2007
Last updated in NPPESJune 8, 2009
Mailing address9460 Middlebelt Rd, Livonia, MI 48150-3059

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