Organization Name: | MED SERVICE WALK-IN CLINIC P C |
NPI Number: | 1568654002 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES C ASKINS (OWNER/MEDICAL DIRECTOR) |
Mailing Address: | 34336 Harper Ave Clinton Twp |
State: | MI US |
Postal Code: | 480353704 |
Phone Number: | 5867919173 |
Fax Number: | 5867919373 |
NPI Enumeration Date: | 08/17/2007 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | JA029205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |