Healthcare Provider Details

I. General information

NPI: 1033442355
Provider Name (Legal Business Name): GROSSE POINTE URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2009
Last Update Date: 11/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20311 MACK AVE
GROSSE POINTE WOODS MI
48236-1784
US

IV. Provider business mailing address

20311 MACK AVE
GROSSE POINTE WOODS MI
48236-1784
US

V. Phone/Fax

Practice location:
  • Phone: 734-338-8300
  • Fax: 734-338-8301
Mailing address:
  • Phone: 734-338-8300
  • Fax: 734-338-8301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number4301065784
License Number StateMI

VIII. Authorized Official

Name: DR. MOHAMMED A ARSIWALA
Title or Position: OWNER MEDICAL DIRECTOR PHYSICIAN
Credential: MD
Phone: 734-338-8300