| Livwell Longevity Institute PLLC | |
|
22260 Garrison St Ste A Dearborn MI 48124-2208 | |
| (133) 696-0600 | |
| (313) 696-0061 |
| Full Name | Livwell Longevity Institute PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 22260 Garrison St Ste A, Dearborn, Michigan |
| Authorized Official Name and Position | Micah Andrew Craig (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3136960600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livwell Longevity Institute PLLC 22260 Garrison St Ste A Dearborn MI 48124-2208 Ph: (133) 696-0600 | Livwell Longevity Institute PLLC 22260 Garrison St Ste A Dearborn MI 48124-2208 Ph: (133) 696-0600 |
| NPI Number | 1891607982 |
|---|---|
| Provider Enumeration Date | 09/22/2026 |
| Last Update Date | 09/22/2026 |
| Certification Date | 09/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891607982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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