Provider Demographics
NPI:1003583485
Name:BLOOMFIELD MEDPOINTE URGENT CARE WALK IN CLINIC PC
Entity Type:Organization
Organization Name:BLOOMFIELD MEDPOINTE URGENT CARE WALK IN CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHROZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ADIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-658-2956
Mailing Address - Street 1:5844 GRANBY LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-0047
Mailing Address - Country:US
Mailing Address - Phone:734-658-2956
Mailing Address - Fax:
Practice Address - Street 1:4297 ORCHARD LAKE RD STE 250
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-1602
Practice Address - Country:US
Practice Address - Phone:734-658-2956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care