Provider Demographics
NPI:1083875314
Name:FAMILY URGENT CARE OF COMMERCE, PLLC
Entity Type:Organization
Organization Name:FAMILY URGENT CARE OF COMMERCE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:C
Authorized Official - Last Name:KUZDAK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-363-9075
Mailing Address - Street 1:3005 OLD PLANK RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-3551
Mailing Address - Country:US
Mailing Address - Phone:248-363-9075
Mailing Address - Fax:248-363-9087
Practice Address - Street 1:2900 UNION LAKE RD
Practice Address - Street 2:STE 130
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-3500
Practice Address - Country:US
Practice Address - Phone:248-363-9075
Practice Address - Fax:248-363-9087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101013354261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care