Healthcare Provider Details

I. General information

NPI: 1982125126
Provider Name (Legal Business Name): EASTPOINTE URGENT CARE WALK IN CLINIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 10/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22471 GRATIOT AVE
EASTPOINTE MI
48021-2353
US

IV. Provider business mailing address

2000 ALEXANDER DR
WESTLAND MI
48186-9354
US

V. Phone/Fax

Practice location:
  • Phone: 734-652-2385
  • Fax:
Mailing address:
  • Phone: 734-652-2385
  • 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: MUHAMMAD IMRAN
Title or Position: CEO
Credential: MD
Phone: 734-652-2385