Basic Information
| Provider Information | |||||||||
| NPI: | 1679528699 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | URGENT CARE PHYSICIANS, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17717 MASONIC | ||||||||
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| City: | FRASER | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480263158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5862940600 | ||||||||
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| Practice Location | |||||||||
| Address1: | 21000 E 12 MILE RD | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | SAINT CLAIR SHORES | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480811116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5864983606 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2006 | ||||||||
| LastUpdateDate: | 02/28/2013 | ||||||||
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| AuthorizedOfficialLastName: | FOX | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | M. | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGING DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2486429893 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.