Provider Demographics
NPI:1689003113
Name:GB URGENT CARE
Entity Type:Organization
Organization Name:GB URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAWRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-584-7689
Mailing Address - Street 1:8143 S SAGINAW ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-1825
Mailing Address - Country:US
Mailing Address - Phone:810-584-7689
Mailing Address - Fax:810-771-4992
Practice Address - Street 1:8143 S SAGINAW ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-1825
Practice Address - Country:US
Practice Address - Phone:810-584-7689
Practice Address - Fax:810-771-4992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care