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General NPI Number Information
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NPI Number | 1083875314
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Entity Type | Organization
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Legal Business Name | FAMILY URGENT CARE OF COMMERCE, PLLC
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 2900 UNION LAKE RD STE 130
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-3500
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Country | US
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Telephone | 248-363-9075
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Fax | 248-363-9087
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Provider Business Mailing Address
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Address Line | 3005 OLD PLANK RD
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City | MILFORD
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State | MI
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Zip | 48381-3551
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Country | US
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Telephone | 248-363-9075
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Fax | 248-363-9087
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. RON C KUZDAK
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Credential | DO
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Telephone | 248-363-9075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 5101013354
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License Number State | MI
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