Healthcare Provider Details

I. General information

NPI: 1396215281
Provider Name (Legal Business Name): MICHIGAN URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2018
Last Update Date: 12/04/2018
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

760 OLD ROSWELL RD STE 117
ROSWELL GA
30076-8685
US

V. Phone/Fax

Practice location:
  • Phone: 313-499-6000
  • Fax: 313-499-6001
Mailing address:
  • Phone: 800-704-8875
  • Fax: 888-816-7047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED ARSIWALA
Title or Position: CEO
Credential: MD
Phone: 734-338-8300