Healthcare Provider Details

I. General information

NPI: 1205149747
Provider Name (Legal Business Name): QUICK ACCES URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2010
Last Update Date: 07/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 N WAVERLY RD
LANSING MI
48917-2268
US

IV. Provider business mailing address

740 N WAVERLY RD
LANSING MI
48917-2268
US

V. Phone/Fax

Practice location:
  • Phone: 517-327-5111
  • Fax: 517-327-9597
Mailing address:
  • Phone: 517-327-5111
  • Fax: 517-327-9597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. DAVID WALKER
Title or Position: MANAGER
Credential: PA
Phone: 517-327-5111