| Organization Name: | ADVANCE URGENT CARE PC |
| NPI Number: | 1013311273 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELANIE MAYCOCK (BILLING DIRECTOR) |
| Mailing Address: | 13530 Michigan Ave Dearborn |
| State: | MI US |
| Postal Code: | 481263574 |
| Phone Number: | 7346735917 |
| Fax Number: | 3146676915 |
| NPI Enumeration Date: | 10/17/2014 |
| NPI Last Update Date: | 10/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 05337Y |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |