Organization
BALDWIN URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHAZALA KHAN (MANAGER)
(734) 693-4011
Entity
Organization
Contact information
Practice address
5045 CHARING CROSS RD, BLOOMFIELD HILLS, MI 48304-3681
(248) 890-8440
Mailing address
5045 CHARING CROSS RD, BLOOMFIELD HILLS, MI 48304-3681
(248) 890-8440
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301080495
MEDICAL LICENSE
MI
Enumeration date
01/26/2022
Last updated
01/26/2022
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