Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michigan Medical Clinics

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1104206978

Michigan Medical Clinics provides Sports Medicine (Neuromusculoskeletal Medicine) Physician services in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Specialties on file
4

Practice location Address checks out

29984 Telegraph Rd Ste A
Southfield, MI 48034-1355 Not confirmed with CMS for 10 years — call before visiting
Phone: (248) 933-1224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X · Licence 4301094678 (MI)
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Taxonomy 207PE0005X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1104206978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alex Olkhovsky — Chairman Of The Board Of Directors · (248) 933-1224
NPI enumeratedJune 5, 2015
Last updated in NPPESMarch 11, 2016
Mailing address2601 Kingstowne Dr, Commerce Twp, MI 48390-2712

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