OrganizationActive
Concentra Medical Center -- Canton
NPI 1114117447 · Occupational Medicine Clinic/Center · Canton, MI
Provider details
- NPI number
- 1114117447
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Occupational Health Centers of Michigan, P.C.
- Organization subpart
- Yes
- Authorized official
- W. Fogarty, Chief Medical Offider(972) 364-8000
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Practice location
1600 S Canton Center Rd
Suite 140
Canton, MI 48188-1992
Phone: (734) 398-7550
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5106
Southfield, MI 48086-5106
Registry dates
- Enumerated
- 2007-08-01
- Last updated
- 2007-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.