MEDICARE: BAY URGENT CARE AND FAMILY PRACTICE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1164260261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY URGENT CARE AND FAMILY PRACTICE PLLC

Provider Business Mailing Address
First Line	:	624 CHARLEVOIX AVE
Second Line	:
City	:	PETOSKEY
State	:	MI
Zip	:	49770-2299
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 CHARLEVOIX AVE
Second Line	:
City	:	PETOSKEY
State	:	MI
Zip	:	49770-2299
Country	:	US
Telephone Number	:	231-753-1400
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSHUA SAUR
Credential	:	DO
Telephone Number	:	231-881-3116

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	07/15/2024

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