# DR ENOS MARCUS HUMBLES D.O. LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REDFORD URGENT CARE MEDICAL CLINIC
- **Other names:** Redford Urgent Care Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891935656
- **Legal business name:** REDFORD URGENT CARE MEDICAL CLINIC
- **Authorized official:** DR. ENOS MARCUS HUMBLES D.O. (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (313) 535-7880

## Contact information

- **Practice address:** 23405 PLYMOUTH RD, REDFORD, MI 48239-1433
- **Practice address phone:** (313) 535-7880
- **Practice address fax:** (313) 535-8388
- **Mailing address:** 23405 PLYMOUTH RD, REDFORD, MI 48239-1433
- **Mailing address fax:** (313) 535-8388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101011838 | MI | Yes |

## Other

- **Enumeration date:** 03/05/2009
- **Last updated:** 09/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 114506064 | — | MI |
| 01 | — | 1891935656 | GROUP NPI NUMBER | MI |
| 01 | — | 1902850472 | NPI | — |
| 01 | — | 5101011838 | STATE OF MICHIGAN | MI |