MEDICARE: MICHIGAN FIRST 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
1	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1629881438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHIGAN FIRST URGENT CARE PLC

Provider Business Mailing Address
First Line	:	2014 N BEECH DALY RD
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2014 N BEECH DALY RD
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-3405
Country	:	US
Telephone Number	:	313-300-2302
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HASAN NASERDEAN
Credential	:	MD
Telephone Number	:	313-300-2302

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	01/28/2025

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