Healthcare Provider Details

I. General information

NPI: 1356673560
Provider Name (Legal Business Name): WASHINGTON URGENT CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57850 VAN DYKE RD SUITE 100
WASHINGTON TOWNSHIP MI
48094-3826
US

IV. Provider business mailing address

51850 DEQUINDRE RD STE 1
SHELBY TWP MI
48316-2806
US

V. Phone/Fax

Practice location:
  • Phone: 586-935-4000
  • Fax: 586-935-4008
Mailing address:
  • Phone: 586-799-4082
  • Fax: 586-799-4083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FADI DEMASHKIEH
Title or Position: CO-OWNER
Credential: MD
Phone: 248-844-1500