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

Revive Physician Woundcare Specialists PLLC

Organization Internal Medicine Physician · NPI 1649102237

Revive Physician Woundcare Specialists PLLC is an Internal Medicine Physician in Roseville, Michigan. Registered with an NPI since 2026.

In the registry since
2026
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

19551 E 10 Mile Rd
Roseville, MI 48066-3998
Phone: (313) 717-8738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1649102237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Elmasri — Admin · (248) 215-0048
NPI enumeratedMay 30, 2026
Last updated in NPPESMay 30, 2026
Certification dateMay 30, 2026
Mailing address19551 E 10 Mile Rd, Roseville, MI 48066-3998

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