Healthcare Provider Details

I. General information

NPI: 1447104716
Provider Name (Legal Business Name): URGENT CARE WARREN STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30736 HOOVER RD
WARREN MI
48093-2555
US

IV. Provider business mailing address

34461 RICHARD O DR
STERLING HEIGHTS MI
48310-6129
US

V. Phone/Fax

Practice location:
  • Phone: 313-231-9670
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED ISLAM
Title or Position: REGISTERED NURSE/OWNER
Credential:
Phone: 313-231-9670