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

Southgate Medical Center PLLC

Organization Internal Medicine Physician · NPI 1801155858

Southgate Medical Center PLLC is an Internal Medicine Physician in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
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

12815 Northline Rd
Southgate, MI 48195-1109
Phone: (734) 284-2090
Fax: (734) 284-9666
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301089436 (MI)

Record details

NPI number1801155858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Sloan — Office Manager · (734) 284-2090
NPI enumeratedMay 11, 2012
Last updated in NPPESMay 11, 2012
Mailing address12815 Northline Rd, Southgate, MI 48195-1109

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