# MEADOWBROOK URGENT CARE PC

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

## Provider details

- **NPI number:** 1104097625
- **Authorized official:** DR. RONA WADLE D.O. (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (248) 476-8500

## Contact information

- **Practice address:** 37463 DUTTON RD, SUITE 100, PRAIRIEVILLE, LA 70769-3502
- **Practice address phone:** (225) 313-3754
- **Practice address fax:** (225) 313-6012
- **Mailing address:** 25500 MEADOWBROOK RD, NOVI, MI 48375-1845
- **Mailing address phone:** (248) 476-8500
- **Mailing address fax:** (248) 543-3434

## Taxonomy

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

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 03/13/2008