Provider Demographics
NPI:1437176351
Name:QUICKHEALTH - AFTER HOURS MEDICAL ACCESS CLINIC, P.C.
Entity Type:Organization
Organization Name:QUICKHEALTH - AFTER HOURS MEDICAL ACCESS CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SYRJAMAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-327-5220
Mailing Address - Street 1:740 N WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-2268
Mailing Address - Country:US
Mailing Address - Phone:517-327-5220
Mailing Address - Fax:517-327-9597
Practice Address - Street 1:740 N WAVERLY RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2268
Practice Address - Country:US
Practice Address - Phone:517-327-5220
Practice Address - Fax:517-327-9597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI207P00000X, 207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty