Healthcare Provider Details
I. General information
NPI: 1184993420
Provider Name (Legal Business Name): PREFERRED URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2011
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
901 N MACOMB ST
MONROE MI
48162-3088
US
IV. Provider business mailing address
901 N MACOMB ST
MONROE MI
48162-3088
US
V. Phone/Fax
- Phone: 734-384-2050
- Fax: 734-384-2061
- Phone: 734-384-2050
- Fax: 734-384-2061
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AAMER
HASAN
BHURGRI
Title or Position: MEDICAL DIRECTOR
Credential: INTERNAL MEDICINE
Phone: 734-384-2050