Healthcare Provider Details

I. General information

NPI: 1033301296
Provider Name (Legal Business Name): QUICK RESPONSE MEDICAL PROFESSIONALS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 08/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24681 NORTHWESTERN HWY 403
SOUTHFIELD MI
48075-2305
US

IV. Provider business mailing address

24681 NORTHWESTERN HWY 403
SOUTHFIELD MI
48075-2305
US

V. Phone/Fax

Practice location:
  • Phone: 248-208-0037
  • Fax: 248-208-0071
Mailing address:
  • Phone: 248-208-0037
  • Fax: 248-208-0071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateMI

VIII. Authorized Official

Name: MS. NANCY R. WILLIAMS
Title or Position: OFFICE MANAGER/BILLING SPECIALIST
Credential: N/A
Phone: 248-208-0037