Healthcare Provider Details

I. General information

NPI: 1689320012
Provider Name (Legal Business Name): GET WELL URGENT CARE TAYLOR PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20202 EUREKA RD
TAYLOR MI
48180-5317
US

IV. Provider business mailing address

20202 EUREKA RD
TAYLOR MI
48180-5317
US

V. Phone/Fax

Practice location:
  • Phone: 734-589-1300
  • Fax:
Mailing address:
  • Phone: 734-589-1300
  • 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: DIANA EL MASRI
Title or Position: BILLING MANAGER
Credential:
Phone: 248-215-0048