Healthcare Provider Details

I. General information

NPI: 1215042874
Provider Name (Legal Business Name): OAKLAND URGENT CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 N SQUIRREL RD SUITE 125
AUBURN HILLS MI
48326-4600
US

IV. Provider business mailing address

2251 N SQUIRREL RD SUITE 125
AUBURN HILLS MI
48326-4600
US

V. Phone/Fax

Practice location:
  • Phone: 248-340-1600
  • Fax:
Mailing address:
  • Phone: 248-340-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN F. X. YOUNG
Title or Position: MANAGER & MEDICAL DIRECTOR
Credential: D.O.
Phone: 248-340-1600