Provider Demographics
NPI:1851321699
Name:DOCNOW URGENT CARE, PC
Entity Type:Organization
Organization Name:DOCNOW URGENT CARE, PC
Other - Org Name:MIDWEST URGENT CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:LEAD BILLER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALANDRUCCO
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:248-853-2223
Mailing Address - Street 1:1701 SOUTH BLVD E
Mailing Address - Street 2:STE 270
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6122
Mailing Address - Country:US
Mailing Address - Phone:248-853-2223
Mailing Address - Fax:248-853-4300
Practice Address - Street 1:1701 SOUTH BLVD E
Practice Address - Street 2:STE 150
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-6122
Practice Address - Country:US
Practice Address - Phone:248-853-6300
Practice Address - Fax:248-853-6303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N95590Medicare PIN