# LAKESIDE URGENT CARE, P. C.

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

## Provider details

- **NPI number:** 1720159304
- **Authorized official:** DR. FADI DEMASHKIEH MD (OWNER)
- **Authorized official phone:** (586) 412-0890

## Contact information

- **Practice address:** 44472 HAYES RD, CLINTON TOWNSHIP, MI 48038-1090
- **Practice address phone:** (586) 412-0890
- **Practice address fax:** (586) 412-1065
- **Mailing address:** 44472 HAYES RD, CLINTON TOWNSHIP, MI 48038-1090
- **Mailing address phone:** (586) 412-0890
- **Mailing address fax:** (586) 412-1065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | MI | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 07/28/2022