DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELITE PROVIDER GROUP PC

Active Organization

Family Medicine · CLARKSTON, MI

Registration Details

NPI Number
1093602229
Provider Type
Organization
NPI Issued
Jun 20, 2025 (0.88603922047149 yrs)
Last Updated
Sep 4, 2025

Practice Information

Address
5900 WALDON RD STE A
CLARKSTON, MI, 483464806
Browse MI providers · Browse ZIP 48346
Phone
2486257890
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Internal Medicine
Additional Specialty
Family Medicine

Other Family Medicine Organizations in CLARKSTON, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.