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

Professional Plaza Clinic Corporation

Organization Legal Medicine · NPI 1992709331

Professional Plaza Clinic Corporation provides Legal Medicine in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005

Practice location Address checks out

2395 W Grand Blvd
Detroit, MI 48208-1210
Phone: (313) 831-2442
Fax: (313) 831-2444
Show map & directions

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

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X (MI)

Record details

NPI number1992709331
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea McBride — Ceo/President · (313) 218-2709
NPI enumeratedJune 13, 2005
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing address2395 W Grand Blvd, Detroit, MI 48208-1210

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