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Organization

WOODLAND URGENT CARE LLC

Active
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Organization

WOODLAND URGENT CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FARAH IFTIKHAR MD (OWNER/PHYSICIAN)
(313) 387-8700
Entity
Organization

Contact information

Practice address
22341 W 8 MILE RD, DETROIT, MI 48219-1217
(313) 387-8700
(313) 387-7665
Mailing address
L-4377, COLUMBUS, OH 43260-0001
(313) 387-8700
(313) 387-7665

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301065784
MI
207R00000X
Internal Medicine Physician
4301065784
MI
261QU0200X
Urgent Care Clinic/Center
4301075100
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4603184
—
MI
05
—
4603200
—
MI
01
—
700H221550
BCBS
MI
01
—
700H222890
BCN
MI
Enumeration date
07/18/2005
Last updated
10/17/2023
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