Organization Name: | FAMILY URGENT CARE OF COMMERCE, PLLC |
NPI Number: | 1083875314 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RON C KUZDAK (MEDICAL DIRECTOR/OWNER) |
Mailing Address: | 2900 Union Lake Rd Ste 130 Commerce Township |
State: | MI US |
Postal Code: | 483823500 |
Phone Number: | 2483639075 |
Fax Number: | 2483639087 |
NPI Enumeration Date: | 06/19/2008 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 5101013354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |