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Organization
WARREN URGENT CARE PC
Active
Organization
WARREN URGENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARAH IFTIKHAR MD (OWNER/PHYSICIAN)
(586) 276-8200
Entity
Organization
Contact information
Practice address
31700 VAN DYKE AVE, WARREN, MI 48093-7949
(586) 276-8200
(586) 276-8181
Mailing address
L-4372, COLUMBUS, OH 43260-0001
(586) 276-8200
(586) 276-8181
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
4301065784
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110E017250
BCBS
MI
05
—
4722882
—
MI
05
—
4725187
—
MI
05
—
4935809
—
MI
05
—
4936010
—
MI
01
—
700E019030
BCN
MI
Enumeration date
08/01/2005
Last updated
10/17/2023
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