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

Professional Plaza Clinic Corporation

Organization Legal Medicine · NPI 1992709331

Professional Plaza Clinic Corporation is a Legal Medicine in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005

Practice location Address checks out

2395 W Grand Blvd
Detroit, MI 48208-1210
Phone: (313) 831-2442
Fax: (313) 831-2444
Show map & directions

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

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X (MI)

Record details

NPI number1992709331
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea McBride — Ceo/President · (313) 218-2709
NPI enumeratedJune 13, 2005
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address2395 W Grand Blvd, Detroit, MI 48208-1210

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