IndividualActive
Michele Roach
NPI 1265647200 · Community Health Clinic/Center · Detroit, MI
Provider details
- NPI number
- 1265647200
- Entity type
- Individual
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3701-0106-0953-552 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-1231
Approximate (ZIP-level) locationGet directions
Mailing address
18311 Cedar Island Blvd
Brownstown, MI 48174-9585
Registry dates
- Enumerated
- 2007-05-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.