| Organization Name: | GROSSE ILE URGENT CARE PC |
| NPI Number: | 1831371475 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOHAMMED A ARSIWALA (OWNER PRESIDENT) |
| Mailing Address: | 8944 Macomb St Grosse Ile |
| State: | MI US |
| Postal Code: | 481382089 |
| Phone Number: | 7343655200 |
| Fax Number: | 7343655201 |
| NPI Enumeration Date: | 12/05/2007 |
| NPI Last Update Date: | 01/09/2008 |
| 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: | |