| Organization Name: | FERNDALE URGENT CARE |
| NPI Number: | 1194131581 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOHAMMED ARSIWALA (OWNER/PRESIDENT) |
| Mailing Address: | 641 W 9 Mile Rd Suite A Ferndale |
| State: | MI US |
| Postal Code: | 482201779 |
| Phone Number: | 7343388300 |
| Fax Number: | 7343388301 |
| NPI Enumeration Date: | 07/07/2014 |
| NPI Last Update Date: | 07/07/2014 |
| 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: | |