Healthcare Provider Details

I. General information

NPI: 1568654002
Provider Name (Legal Business Name): MED SERVICE WALK-IN CLINIC P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2007
Last Update Date: 01/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34336 HARPER AVE
CLINTON TWP MI
48035-3704
US

IV. Provider business mailing address

201 WESTSHORE DR
JEROME MI
49249-9420
US

V. Phone/Fax

Practice location:
  • Phone: 586-791-9173
  • Fax: 586-791-9373
Mailing address:
  • Phone: 517-529-9266
  • Fax: 517-529-9277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberJA029205
License Number StateMI

VIII. Authorized Official

Name: DR. JAMES C ASKINS
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: M.D.
Phone: 586-791-9173