Organization
FAMILY PHYSICIAN GROUP
Active
Parent organization
ELITE URGENT CARE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE URGENT CARE PLLC
Authorized official
MARYAM MIHTAR (PRESIDENT)
(313) 736-5004
Entity
Organization
Contact information
Practice address
15301 TIREMAN AVE, SUITE A, DEARBORN, MI 48126-1045
(313) 736-5004
Mailing address
15301 TIREMAN AVE, SUITE A, DEARBORN, MI 48126-1045
(313) 736-5004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
02/04/2015
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