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Organization
VAN BUREN URGENT CARE CENTER PLLC
Active
Organization
VAN BUREN URGENT CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER HURAIBI MD (OWNER MEDICAL DIRECTOR PHYSICIAN)
(313) 515-0024
Entity
Organization
Contact information
Practice address
11650 BELLEVILLE RD, SUITE 101, VAN BUREN TWP, MI 48111
(734) 699-9888
(734) 293-1774
Mailing address
11650 BELLEVILLE RD, SUITE 101, VAN BUREN TWP, MI 48111
(734) 699-9888
(734) 293-1774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301085918
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H258740
BCBS GROUP
MI
05
—
1538497250
—
MI
01
—
182933
GREAT LAKES
MI
01
—
DQ6601
RAILROAD MEDICARE
MI
Enumeration date
11/19/2009
Last updated
12/09/2010
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