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

Michigan Infusion Services and Licensed Healthcare

Organization Health Service Clinic/Center · NPI 1164168126

Michigan Infusion Services and Licensed Healthcare is a Health Service Clinic/Center in Plymouth, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

500 Ross St
Plymouth, MI 48170-2206
Phone: (734) 341-7767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1164168126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Long — Associate Medical Director · (734) 341-7767
NPI enumeratedMay 11, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address500 Ross St, Plymouth, MI 48170-2206