# ER DOC URGENT CARE PLLC

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

## Provider details

- **NPI number:** 1083461370
- **Authorized official:** WASFEH A MUSHEINISH MD (OWNER)
- **Authorized official phone:** (313) 515-6507

## Contact information

- **Practice address:** 3677 FORT ST, LINCOLN PARK, MI 48146-4116
- **Practice address phone:** (313) 887-7770
- **Practice address fax:** (313) 254-2861
- **Mailing address:** 3677 FORT ST, LINCOLN PARK, MI 48146-4116
- **Mailing address phone:** (313) 887-7770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2024
- **Last updated:** 09/07/2025