Provider Demographics
NPI:1346948452
Name:HMC URGENT CARE GROSS POINTE PLLC
Entity Type:Organization
Organization Name:HMC URGENT CARE GROSS POINTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:HAZIMEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-676-2149
Mailing Address - Street 1:17751 E WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-1329
Mailing Address - Country:US
Mailing Address - Phone:313-885-6833
Mailing Address - Fax:313-885-1268
Practice Address - Street 1:17751 E WARREN AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48224-1329
Practice Address - Country:US
Practice Address - Phone:313-885-6833
Practice Address - Fax:313-885-1268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care