MEDICARE: LKES URGENT CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center	5601007367	MI

General Provider Information

NPI Number	:	1053791590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LKES URGENT CARE

Provider Business Mailing Address
First Line	:	2300 HAGGERTY RD STE 1010
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2185
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 HAGGERTY RD STE 1010
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2185
Country	:	US
Telephone Number	:	248-926-9111
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	SANFORD VIEDER
Credential	:	DO
Telephone Number	:	248-926-9111

Provider Enumeration Date	:	05/30/2015
Last Update Date	:	05/30/2015

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1720020068 — DR. ZVI LEVRAN MD
Practice Location Address:

2300 HAGGERTY RD STE 1010
W BLOOMFIELD, MI
48323-2185

Practice Phone: 248-766-0802
Practice Fax:

1174611073 — SHERYL LYNN SAPERSTEIN R.PH.
Practice Location Address:

2300 HAGGERTY RD STE 1070
W BLOOMFIELD, MI
48323-2185

Practice Phone: 248-668-1212
Practice Fax: 248-668-8453

1154410835 — MS. ELYSE JEANNETTE HOFFMAN PHARMD.
Practice Location Address:

2300 HAGGERTY RD STE 1070
WEST BLOOMFIELD, MI
48323-2185

Practice Phone: 248-668-1212
Practice Fax:

1447662762 — DR. ERIC MARC ROSENBAUM D.O.
Practice Location Address:

2300 HAGGERTY RD STE 1010
WEST BLOOMFIELD, MI
48323-2185

Practice Phone: 248-668-0900
Practice Fax: 248-926-9112

1700233186 — LIMANGI MADHAVAN
Practice Location Address:

2300 HAGGERTY RD STE 1010
WEST BLOOMFIELD, MI
48323-2185

Practice Phone: 248-926-9111
Practice Fax:

Directions to “LKES URGENT CARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.