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

Andrew Conroy

Individual provider Medical Physician Assistant · NPI 1164052395

Andrew Conroy is a Medical Physician Assistant in Detroit, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (800) 653-6568
Show map & directions

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

Additional practice locations (1)

  • 1 Wyoming St, Dayton, OH 45409-2722 — (937) 208-3356

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010310 (MI)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1164052395
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 15, 2020
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021

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