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

Pure Health of Michigan

Organization Family Medicine Physician · NPI 1891405031

Pure Health of Michigan is a Family Medicine Physician in Southfield, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

17800 Northland Park Ct
Southfield, MI 48075-4304
Phone: (248) 233-4076
Fax: (248) 233-4079
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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

Record details

NPI number1891405031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoine Tucker — Office Director · (248) 233-4076
NPI enumeratedNovember 29, 2022
Last updated in NPPESDecember 26, 2022
Certification dateDecember 26, 2022
Mailing address17800 Northland Park Ct, Southfield, MI 48075-4304

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