ADVANCED ALLERGY & ASTHMA PLLC NPI 1316173263

NPI Information

  • NPI: 1316173263
  • Provider Name: ADVANCED ALLERGY & ASTHMA PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 5701 BOW POINTE DR
    SUITE 110
    CLARKSTON, MI
    ZIP 48346
  • Phone: (248) 384-8310

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NPI Details

ADVANCED ALLERGY & ASTHMA PLLC is a specialist in Clarkston, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED ALLERGY & ASTHMA PLLC NPI is 1316173263. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5701 BOW POINTE DR
SUITE 110
CLARKSTON, MI
ZIP 48346-198
Phone: (248) 384-8310
Fax: (248) 620-5013

The provider's authorized official is Reba Elizabeth Johnson .
The authorized official title is Owner and has the following contact phone number (248) 384-8310.

The enumeration date for this NPI number is 6/5/2009 and was last updated on 12/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist4301082354MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1030F381900OTHERMICHIGANBCN GROUP
2030F381900OTHERMICHIGANBCBS GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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