Organization Name: | GROSSE POINTE URGENT CARE PC |
NPI Number: | 1033442355 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOHAMMED A ARSIWALA (OWNER MEDICAL DIRECTOR PHYSICIAN) |
Mailing Address: | 20311 Mack Ave Grosse Pointe Woods |
State: | MI US |
Postal Code: | 482361784 |
Phone Number: | 7343388300 |
Fax Number: | 7343388301 |
NPI Enumeration Date: | 09/18/2009 |
NPI Last Update Date: | 11/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 4301065784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |