Active NPI
Livwell Longevity Institute PLLC
- Internal Medicine Physician
- Dearborn, MI
National Provider Identifier
1891607982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LIVWELL LONGEVITY INSTITUTE PLLC
- Practice address
- 22260 Garrison St Ste a
Dearborn, MI 48124-2208 - Phone
- (133) 696-0600
- Fax
- (313) 696-0061
- NPI assigned
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Micah Andrew Craig, MD
- Title
- Medical Director
- Phone
- (313) 696-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
22260 Garrison St Ste a
Dearborn, MI 48124-2208
Mailing address
22260 Garrison St Ste a
Dearborn, MI 48124-2208
Phone (133) 696-0600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1891607982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22260 GARRISON ST STE A",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242208",
"telephone_number": "133-696-0600",
"fax_number": "313-696-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22260 GARRISON ST STE A",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242208",
"telephone_number": "133-696-0600",
"fax_number": "313-696-0061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVWELL LONGEVITY INSTITUTE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "CRAIG",
"authorized_official_first_name": "MICAH",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "313-696-0600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.