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

Pure Health of Michigan

Organization Family Medicine Physician · NPI 1891405031

Pure Health of Michigan provides Family Medicine Physician services in Southfield, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

17800 Northland Park Ct
Southfield, MI 48075-4304
Phone: (248) 233-4076
Fax: (248) 233-4079
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1891405031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Antoine Tucker — Office Director · (248) 233-4076
NPI enumeratedNovember 29, 2022
Last updated in NPPESDecember 26, 2022
Certification dateDecember 26, 2022
Mailing address17800 Northland Park Ct, Southfield, MI 48075-4304

Other providers in Southfield