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NPI Code Detail

MEDICARE: URGENT CARE REDFORD

MEDICARE: URGENT CARE REDFORD
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/Center4704215244MI

General Provider Information

NPI Number : 1487027033
Entity Type Code : Organization
Provider Name (Legal Business Name) : URGENT CARE REDFORD
Provider Business Mailing Address
First Line : 14671 TELEGRAPH RD
Second Line :
City : REDFORD
State : MI
Zip : 48239-3300
Country : US
Telephone Number : 313-948-3030
Fax Number :
Provider Business Practice Location Address
First Line : 14671 TELEGRAPH RD
Second Line :
City : REDFORD
State : MI
Zip : 48239-3300
Country : US
Telephone Number : 313-948-3030
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : DR. ZAHOORUL HASSAN
Credential : M.D.
Telephone Number : 313-948-3030
Provider Enumeration Date : 11/04/2015
Last Update Date : 11/04/2015

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