Healthcare Provider Details

I. General information

NPI: 1396936191
Provider Name (Legal Business Name): AMERICAN CURRENT CARE OF MICHIGAN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 01/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33089 GROESBECK HWY
FRASER MI
48026-1501
US

IV. Provider business mailing address

5080 SPECTRUM DR SUITE 1200 WEST
ADDISON TX
75001-4648
US

V. Phone/Fax

Practice location:
  • Phone: 586-296-2800
  • Fax: 586-296-6190
Mailing address:
  • Phone: 972-720-7772
  • Fax: 214-775-4502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN R ANDERSON
Title or Position: PRESIDENT AND TREASURER
Credential: DO
Phone: 972-364-8000