# PRIMECARE URGENT CARE PLLC

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

## Provider details

- **NPI number:** 1174875140
- **Authorized official:** THEODORE SHIVELY D.O (OWNER)
- **Authorized official phone:** (248) 755-2274

## Contact information

- **Practice address:** 39555 W 10 MILE RD, SUITE 301, NOVI, MI 48375-2950
- **Practice address phone:** (248) 426-7200
- **Mailing address:** 39555 W 10 MILE RD, SUITE 301, NOVI, MI 48375-2950

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2012
- **Last updated:** 12/11/2013