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NPI Code Detail

MEDICARE: AM URGENT CARE PLC

MEDICARE: AM URGENT CARE PLC
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
1261QU0200XUrgent Care Clinic/Center4301056507MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1700H226680OTHERMIBCN GROUP

General Provider Information

NPI Number : 1457595092
Entity Type Code : Organization
Provider Name (Legal Business Name) : AM URGENT CARE PLC
Provider Business Mailing Address
First Line : 13031 CONANT ST
Second Line :
City : DETROIT
State : MI
Zip : 48212-2361
Country : US
Telephone Number : 313-893-5493
Fax Number : 313-893-5495
Provider Business Practice Location Address
First Line : 13031 CONANT ST
Second Line :
City : DETROIT
State : MI
Zip : 48212-2361
Country : US
Telephone Number : 313-893-5493
Fax Number : 313-893-5495
Authorized Official
Title or Position : OWNER MEDICAL DIRECTOR PHYSICIAN
Name : DR. ALI H MAHMOOD
Credential : MD
Telephone Number : 313-893-5490
Provider Enumeration Date : 04/27/2009
Last Update Date : 04/27/2009

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Directions to “AM URGENT CARE PLC ” Practice Location

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