Provider Demographics
NPI:1598217853
Name:MD ENTERPRISES PLLC
Entity Type:Organization
Organization Name:MD ENTERPRISES PLLC
Other - Org Name:AMD URGENT CARE DAVISON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSIMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-564-7995
Mailing Address - Street 1:1477 S STATE RD
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-1911
Mailing Address - Country:US
Mailing Address - Phone:810-564-7995
Mailing Address - Fax:
Practice Address - Street 1:1477 S STATE RD
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-1911
Practice Address - Country:US
Practice Address - Phone:810-564-7995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care