# MEDWORKS URGENT CARE PLLC

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

## Provider details

- **NPI number:** 1356047773
- **Authorized official:** AHMED MIRZA NP (NURSE PRACTITIONER)
- **Authorized official phone:** (313) 763-0309

## Contact information

- **Practice address:** 19100 GODDARD RD, ALLEN PARK, MI 48101-1156
- **Practice address phone:** (313) 763-0309
- **Practice address fax:** (313) 771-9947
- **Mailing address:** 19100 GODDARD RD, ALLEN PARK, MI 48101-1156
- **Mailing address phone:** (313) 763-0309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/07/2023
- **Last updated:** 12/13/2023