# LAKES URGENT CARE-ST JOSEPH LIVONIA CAMPUS-PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakes Urgent Care Livonia, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649658915
- **Authorized official:** DR. SANFORD J VIEDER D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (248) 931-2274

## Contact information

- **Practice address:** 36622 FIVE MILE RD, LIVONIA, MI 48154-1900
- **Practice address phone:** (248) 926-9111
- **Practice address fax:** (248) 926-9112
- **Mailing address:** 2300 HAGGERTY RD, SUITE 1010, WEST BLOOMFIELD, MI 48323-2184
- **Mailing address phone:** (248) 926-9111
- **Mailing address fax:** (248) 926-9112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 5101010234 | MI | Yes |

## Other

- **Enumeration date:** 05/07/2015
- **Last updated:** 07/06/2015