| Organization Name: | MIDWEST URGENT CARE CENTER PC |
| NPI Number: | 1083845804 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARRELL VLACHOS (OWNER) |
| Mailing Address: | 15540 Beech Daly Rd Redford |
| State: | MI US |
| Postal Code: | 482393804 |
| Phone Number: | 3135926330 |
| Fax Number: | 3135926331 |
| NPI Enumeration Date: | 07/28/2009 |
| NPI Last Update Date: | 07/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |