# HAZEL PARK URGENT CARE PLLC

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

## Provider details

- **NPI number:** 1477991545
- **Authorized official:** JAWAD AGHA MD (MD)
- **Authorized official phone:** (248) 268-2566

## Contact information

- **Practice address:** 624 E 9 MILE RD, HAZEL PARK, MI 48030-1842
- **Practice address phone:** (248) 268-2566
- **Practice address fax:** (248) 268-2560
- **Mailing address:** 624 E 9 MILE RD, HAZEL PARK, MI 48030-1842
- **Mailing address phone:** (248) 268-2566
- **Mailing address fax:** (248) 268-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | 4301076703 | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2013
- **Last updated:** 08/29/2014
