Organization
MIDWEST URGENT CARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL D VLACHOS DO (PRESIDENT)
(313) 592-6330
Entity
Organization
Contact information
Practice address
15540 BEECH DALY RD, REDFORD, MI 48239-3804
(313) 592-6330
Mailing address
PO BOX 3054, FARMINGTON HILLS, MI 48333-3054
(313) 592-6330
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H20597
BLUE CROSS BLUE SHIELD O MICHIGAN
MI
Enumeration date
04/01/2009
Last updated
09/28/2010
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