OrganizationActive
Professional Plaza Clinic Corporation
NPI 1992709331 · Legal Medicine · Detroit, MI
Provider details
- NPI number
- 1992709331
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Andrea Mcbride, Ceo/President(313) 218-2709
Specialties & taxonomies
Other Service Providers
Practice location
2395 W Grand Blvd
Detroit, MI 48208-1210
Phone: (313) 831-2442
Fax: (313) 831-2444
Approximate (ZIP-level) locationGet directions
Mailing address
2395 W Grand Blvd
Detroit, MI 48208-1210
Registry dates
- Enumerated
- 2005-06-13
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.