AEGIS MEDICAL PLLC NPI 1831883529

NPI Information

  • NPI: 1831883529
  • Provider Name: AEGIS MEDICAL PLLC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • CLIA Number: 23D2316445
  • Address: 17888 MACK AVE
    GROSSE POINTE, MI
    ZIP 48230
  • Phone: (888) 849-1080

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NPI Details

AEGIS MEDICAL PLLC is an addiction medicine family medicine in Grosse Pointe, MI. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. AEGIS MEDICAL PLLC NPI is 1831883529. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17888 MACK AVE
GROSSE POINTE, MI
ZIP 48230-234
Phone: (888) 849-1080

The provider's authorized official is Peter Farago .
The authorized official title is Owner and has the following contact phone number (888) 849-1080.

The CLIA number assigned to this NPI record is 23D2316445 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2023 and was last updated on 10/11/2024.

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
1207QA0401XFamily MedicineAddiction MedicineYes

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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