Healthcare Provider Details
I. General information
NPI: 1194420984
Provider Name (Legal Business Name): MEDPOINTE URGENT CARE ROCHESTER HILLS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2023
Last Update Date: 04/03/2023
Certification Date: 04/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2044 SOUTH BLVD W
ROCHESTER HLS MI
48309-4143
US
IV. Provider business mailing address
2044 SOUTH BLVD W
ROCHESTER HLS MI
48309-4143
US
V. Phone/Fax
- Phone: 734-652-2385
- Fax:
- Phone: 734-652-2385
- Fax:
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:
MUHAMMAD
IMRAN
Title or Position: CEO
Credential: MD
Phone: 734-652-2385