Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elmwood Park Medical Clinic PC

Organization Family Medicine Physician · NPI 1538407465

Elmwood Park Medical Clinic PC provides Family Medicine Physician services in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2950 E Jefferson Ave
Detroit, MI 48207-4208 Not confirmed with CMS for 13 years — call before visiting
Phone: (313) 399-5083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101007577 (MI)

Record details

NPI number1538407465
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Evans — Owner · (313) 399-5083
NPI enumeratedJanuary 28, 2013
Last updated in NPPESJanuary 28, 2013
Mailing address2950 E Jefferson Ave, Detroit, MI 48207-4208

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