Provider Demographics
NPI:1497225403
Name:MICHIGAN FAMILY MEDICINE AND URGENT CARE
Entity Type:Organization
Organization Name:MICHIGAN FAMILY MEDICINE AND URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SALMAN RAIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-400-2889
Mailing Address - Street 1:13811 MYRTLE DR
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-8509
Mailing Address - Country:US
Mailing Address - Phone:989-400-2889
Mailing Address - Fax:517-604-6184
Practice Address - Street 1:13811 MYRTLE DR
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-8509
Practice Address - Country:US
Practice Address - Phone:989-400-2889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty