| Omega Specialty Group PLC | |
|
18570 Grand River Ave Ste 102 Detroit MI 48223-2201 | |
| (313) 646-4681 | |
| (313) 646-4687 |
| Full Name | Omega Specialty Group PLC |
|---|---|
| Speciality | Family Medicine |
| Location | 18570 Grand River Ave Ste 102, Detroit, Michigan |
| Authorized Official Name and Position | Michael Carter (OWNER) |
| Authorized Official Contact | 3136465180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omega Specialty Group PLC 18570 Grand River Ave Ste 102 Detroit MI 48223-2201 Ph: (313) 646-4681 | Omega Specialty Group PLC 18570 Grand River Ave Ste 102 Detroit MI 48223-2201 Ph: (313) 646-4681 |
| NPI Number | 1841081908 |
|---|---|
| Provider Enumeration Date | 05/16/2025 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841081908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 261QP3300X | Clinic/center - Pain | (NU) | Secondary |
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