Organization
PRIMECARE URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE SHIVELY D.O (OWNER)
(248) 755-2274
Entity
Organization
Contact information
Practice address
39555 W 10 MILE RD, SUITE 301, NOVI, MI 48375-2950
(248) 426-7200
Mailing address
39555 W 10 MILE RD, SUITE 301, NOVI, MI 48375-2950
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
12/11/2013
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