# LKES URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053791590
- **Authorized official:** SANFORD VIEDER DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (248) 926-9111

## Contact information

- **Practice address:** 2300 HAGGERTY RD STE 1010, WEST BLOOMFIELD, MI 48323-2185
- **Practice address phone:** (248) 926-9111
- **Mailing address:** 2300 HAGGERTY RD STE 1010, WEST BLOOMFIELD, MI 48323-2185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 5601007367 | MI | Yes |

## Other

- **Enumeration date:** 05/30/2015
- **Last updated:** 05/30/2015