Basic Information
| Provider Information | |||||||||
| NPI: | 1255801148 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MICHIGAN URGENT CARE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 760 OLD ROSWELL RD STE 117 | ||||||||
| Address2: | |||||||||
| City: | ROSWELL | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300768685 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8007048875 | ||||||||
| FaxNumber: | 8888167047 | ||||||||
| Practice Location | |||||||||
| Address1: | 3280 WASHTENAW AVE | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481044250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7343892000 | ||||||||
| FaxNumber: | 7343892005 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2018 | ||||||||
| LastUpdateDate: | 12/04/2018 | ||||||||
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| AuthorizedOfficialLastName: | ARSIWALA | ||||||||
| AuthorizedOfficialFirstName: | MOHAMMED | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7343388300 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 333600000X | N | Suppliers | Pharmacy | 332900000X | Y | Suppliers | Non-Pharmacy Dispensing Site |
No ID Information.