Healthcare Provider Details

I. General information

NPI: 1144611633
Provider Name (Legal Business Name): ADRIAN URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2015
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 N MAIN ST
ADRIAN MI
49221-2151
US

IV. Provider business mailing address

2692 SOLUTIONS CENTER DR
CHICAGO IL
60677-0001
US

V. Phone/Fax

Practice location:
  • Phone: 734-324-7800
  • Fax:
Mailing address:
  • Phone: 517-577-6150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FARAH IFTIKHAR
Title or Position: OWNER
Credential: M.D.
Phone: 248-957-7999