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

Vandyke Medical Clinic Management Corp

Organization Health Service Clinic/Center · NPI 1174632087

Vandyke Medical Clinic Management Corp is a Health Service Clinic/Center in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19431 Van Dyke St
Detroit, MI 48234-3323
Phone: (313) 893-2010
Fax: (313) 893-3308
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 · Licence 4301081357 (MI)

Record details

NPI number1174632087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernest Mullen — President · (313) 893-2010
NPI enumeratedAugust 30, 2006
Last updated in NPPESDecember 1, 2015
Mailing address19431 Van Dyke St, Detroit, MI 48234-3323

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