Healthcare Provider Details

I. General information

NPI: 1821553587
Provider Name (Legal Business Name): MEDPOINTE URGENT CARE WALK IN CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2019
Last Update Date: 02/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31290 GROESBECK HWY
FRASER MI
48026-2517
US

IV. Provider business mailing address

50790 SILVERTON
CANTON MI
48187-7703
US

V. Phone/Fax

Practice location:
  • Phone: 734-652-2385
  • Fax:
Mailing address:
  • Phone:
  • 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: DR. MUHAMMAD IMRAN
Title or Position: PRESIDENT
Credential:
Phone: 734-652-2385