Organization
DOWNRIVER CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUNIR KHALED MD (OWNER MEDICAL DIRECTOR PHYSICIAN)
(734) 675-0705
Entity
Organization
Contact information
Practice address
8944 MACOMB ST, GROSSE ILE, MI 48138-2089
(734) 675-0705
(734) 675-0747
Mailing address
8944 MACOMB ST, GROSSE ILE, MI 48138-2089
(734) 675-0705
(734) 675-0747
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
4301091157
MI
Other
Enumeration date
01/16/2009
Last updated
04/14/2009
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