Provider Demographics
NPI:1760922553
Name:URGENT CARE PLUS, PC
Entity Type:Organization
Organization Name:URGENT CARE PLUS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NWANNEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUMODU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-276-7239
Mailing Address - Street 1:16184 E 10 MILE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-1160
Mailing Address - Country:US
Mailing Address - Phone:734-276-7239
Mailing Address - Fax:
Practice Address - Street 1:16184 E 10 MILE RD STE 102
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021
Practice Address - Country:US
Practice Address - Phone:586-779-4550
Practice Address - Fax:586-779-4551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301077637261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care