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

Medicine Man Medical, PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1811467657

Medicine Man Medical, PLLC is a Physical Medicine & Rehabilitation Physician in Southfield, Michigan. Registered with an NPI since 2018.

In the registry since
2018
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

25130 Southfield Rd Ste #210
Southfield, MI 48075
Phone: (317) 691-1824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1811467657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Powell — Partner · (317) 691-1824
NPI enumeratedDecember 4, 2018
Last updated in NPPESDecember 4, 2018
Mailing address25130 Southfield Rd Ste 120, Southfield, MI 48075-1900

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