Provider Demographics
NPI:1922299437
Name:MID-MICHIGAN AMBULATORY PHYSICIANS
Entity Type:Organization
Organization Name:MID-MICHIGAN AMBULATORY PHYSICIANS
Other - Org Name:ASCENT URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ASGHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-598-7460
Mailing Address - Street 1:1255 E GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-1721
Mailing Address - Country:US
Mailing Address - Phone:517-545-7400
Mailing Address - Fax:517-545-7477
Practice Address - Street 1:1255 E GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-1721
Practice Address - Country:US
Practice Address - Phone:517-545-7400
Practice Address - Fax:517-545-7477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care