Organization
MERCY MEMORIAL HOSPITAL CORPORATION
Active
Parent organization
URGENT CARE PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
URGENT CARE PHYSICIANS
Authorized official
STEPHEN GRIDER DO (GROUP REP)
(734) 240-1440
Entity
Organization
Contact information
Practice address
100 POWELL DR, DUNDEE, MI 48131-8644
(734) 240-1440
(734) 240-1550
Mailing address
100 POWELL DR, DUNDEE, MI 48131-8644
(734) 240-1440
(734) 240-1550
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E81101
BLUE CROSS
MI
Enumeration date
01/28/2008
Last updated
01/28/2008
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