OrganizationActive
Advanced Sleep Disorder Center LLC
NPI 1114095510 · Sleep Medicine (Psychiatry & Neurology) Physician · Ypsilanti, MI
Provider details
- NPI number
- 1114095510
- Entity type
- Organization
- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kenneth Phillips, Manager
- License
- GA405226 (MI)
Practice location
1159 E Michigan Ave
Suite D
Ypsilanti, MI 48198-5807
Phone: (734) 480-4250
Fax: (734) 480-4251
Mailing address
Po Box 250681
Franklin, MI 48025-0681
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.