| Organization Name: | AMD URGENT MEDICAL CARE, PLLC |
| NPI Number: | 1184968679 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL MASSIMINO (OPERATION MANAGER) |
| Mailing Address: | 11307 N. Linden Rd Suite B Clio |
| State: | MI US |
| Postal Code: | 48420 |
| Phone Number: | 8105331468 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2012 |
| NPI Last Update Date: | 04/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | D55758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |