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

Vicinity Medical Partners PA

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1477914596

Vicinity Medical Partners PA is a Geriatric Medicine (Internal Medicine) Physician in Novi, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21333 Haggerty Rd Ste 150
Novi, MI 48375-5510
Phone: (248) 662-0250
Fax: (248) 662-9845
Show map & directions

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

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X (MI)
Nurse Practitioner Taxonomy 363L00000X (MI)

Record details

NPI number1477914596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Prose — President · (248) 662-0250
NPI enumeratedMarch 17, 2016
Last updated in NPPESAugust 4, 2016
Mailing address21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510

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