Provider Demographics
NPI:1124841127
Name:ADVANCE HEALTH URGENT CARE PLLC
Entity type:Organization
Organization Name:ADVANCE HEALTH URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAZIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:YONAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-519-9116
Mailing Address - Street 1:36454 GROESBECK HWY
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-1548
Mailing Address - Country:US
Mailing Address - Phone:586-519-9116
Mailing Address - Fax:586-519-9117
Practice Address - Street 1:36454 GROESBECK HWY
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48035-1548
Practice Address - Country:US
Practice Address - Phone:586-519-9116
Practice Address - Fax:586-519-9117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-06
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care