Organization Name: | HEALING HANDS URGENT CARE MEDICAL CENTER PC |
NPI Number: | 1780988493 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOHAMMAD NURIL AMIN (OWNER/PHYSICIAN) |
Mailing Address: | 2157 Orchard Lake Rd Sylvan Lake |
State: | MI US |
Postal Code: | 483201749 |
Phone Number: | 3135618796 |
Fax Number: | 3135610277 |
NPI Enumeration Date: | 01/10/2011 |
NPI Last Update Date: | 01/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 4301048260 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |