Healthcare Provider Details
I. General information
NPI: 1326904996
Provider Name (Legal Business Name): ALLEGIANT URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1426 E MICHIGAN AVE
LANSING MI
48912-2107
US
IV. Provider business mailing address
115 HORTON ST
LANSING MI
48912-2805
US
V. Phone/Fax
- Phone: 517-268-0889
- Fax:
- Phone: 517-268-0889
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WISAM
ROBERT
ZEINEH
Title or Position: CEO
Credential: MSN, FNP-C
Phone: 517-268-0889