OrganizationActive
365 Health Care Group PLC
NPI 1750855086 · Surgery Physician · Troy, MI
Provider details
- NPI number
- 1750855086
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Miller, Director of Rcm(248) 331-7908
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 W Big Beaver Rd Ste 200
Troy, MI 48084-5283
Phone: (888) 402-0202
Fax: (888) 860-2960
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412468
Chicago, IL 60674-2468
Additional practice locations (1)
- 22711 Grand River AveDetroit, MI 48219-3113Phone: (888) 402-0202Fax: (888) 860-2960
Registry dates
- Enumerated
- 2019-01-21
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.