# STONY CREEK URGENT CARE PLLC

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

## Provider details

- **NPI number:** 1174993307
- **Authorized official:** DR. THEODORE L TANGALOS MD (OWNER)
- **Authorized official phone:** (586) 726-4823

## Contact information

- **Practice address:** 8180 26 MILE RD, SUITE 100, SHELBY TOWNSHIP, MI 48316-5129
- **Practice address phone:** (586) 726-4823
- **Practice address fax:** (586) 726-8365
- **Mailing address:** 43455 SCHOENHERR RD, SUITE 2, STERLING HEIGHTS, MI 48313-1951
- **Mailing address phone:** (586) 726-4823
- **Mailing address fax:** (586) 726-8365

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2015
- **Last updated:** 10/13/2015