Organization
DEARBORN URGENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED A ARSIWALA MD (OWNER/MED DIR/PHY)
(313) 846-8400
Entity
Organization
Contact information
Practice address
5728 SCHAEFER RD, DEARBORN, MI 48126-2298
(313) 846-8400
(313) 846-8413
Mailing address
PO BOX 32588 06, DETROIT, MI 48232-0588
(313) 846-1700
(313) 846-8413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301065784
MI
207R00000X
Internal Medicine Physician
Primary
4301065784
MI
261QU0200X
Urgent Care Clinic/Center
4301065784
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078773
HAP
MI
01
—
110H229570
BCBS
MI
01
—
700H229780
BCN
MI
01
—
7897882
AETNA
MI
Enumeration date
09/13/2006
Last updated
05/22/2008
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