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Organization
MEDALLIANCE URGENT CARE, PLLC.
Active
Organization
MEDALLIANCE URGENT CARE, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN R PESHL MHSA, MBA (ADMINISTRATOR)
(248) 793-8850
Entity
Organization
Contact information
Practice address
650 E BIG BEAVER RD STE A, TROY, MI 48083-1432
(248) 793-8850
Mailing address
650 E BIG BEAVER RD STE A, TROY, MI 48083-1432
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QC1800X
Corporate Health Clinic/Center
—
NULL
261QE0002X
Emergency Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/18/2022
Last updated
08/01/2022
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