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Organization

EPG URGENT CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG NAMAN M.D. (CHIEF MEDICAL DIRECTOR)
(248) 544-6236
Entity
Organization

Contact information

Practice address
26454 WOODWARD AVE, SUITE 150, ROYAL OAK, MI 48067-0969
(248) 545-7210
(248) 545-1023
Mailing address
911 E 9 MILE RD, FERNDALE, MI 48220-1934
(248) 545-7210
(248) 545-3058

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MI
207R00000X
Internal Medicine Physician
Primary
MI
208000000X
Pediatrics Physician
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00002662456
UNITED HEALTH CARE FACILITY #
MI
01
024655
MIDWEST FACILITY #
05
110405384
MI
01
110F346760
BCBS GROUP
MI
Enumeration date
04/25/2007
Last updated
02/18/2011
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