Healthcare Provider Details

I. General information

NPI: 1396370748
Provider Name (Legal Business Name): ROCHESTER MEDPOINTE URGENT CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2020
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S MAIN ST
ROCHESTER MI
48307-2028
US

IV. Provider business mailing address

150 S MAIN ST
ROCHESTER MI
48307-2028
US

V. Phone/Fax

Practice location:
  • Phone: 734-652-2385
  • Fax:
Mailing address:
  • Phone: 734-652-2385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MUHAMMAD IMRAN
Title or Position: CEO
Credential: MD
Phone: 734-652-2385