Provider Demographics
NPI:1033689922
Name:MICHIGAN URGENT CARE
Entity Type:Organization
Organization Name:MICHIGAN URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ARSIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-338-8300
Mailing Address - Street 1:760 OLD ROSWELL RD STE 117
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-8685
Mailing Address - Country:US
Mailing Address - Phone:678-829-6077
Mailing Address - Fax:888-816-7047
Practice Address - Street 1:5800 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48327-1827
Practice Address - Country:US
Practice Address - Phone:248-290-5700
Practice Address - Fax:248-290-5695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site
No333600000XSuppliersPharmacy