# GROSSE ILE URGENT CARE PC

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

## Provider details

- **NPI number:** 1932316643
- **Authorized official:** DR. MOHAMMED A ARSIWALA MD (OWNER MEDICAL DIRECTOR PHYSICIAN)
- **Authorized official phone:** (734) 365-5200

## Contact information

- **Practice address:** 8944 MACOMB ST, GROSSE ILE, MI 48138-2089
- **Practice address phone:** (734) 365-5200
- **Practice address fax:** (734) 365-5201
- **Mailing address:** PO BOX 32588 05, DETROIT, MI 48232-0588
- **Mailing address phone:** (734) 365-5200
- **Mailing address fax:** (734) 365-5201

## Taxonomy

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

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 05/22/2008
