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Organization

SOUTH BLVD WALK-IN CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HORIA M. TATU M.D. (OWNER)
(248) 202-2022
Entity
Organization

Contact information

Practice address
2191 SOUTH BLVD, AUBURN HILLS, MI 48326-3481
(248) 724-1420
(248) 724-1430
Mailing address
2191 SOUTH BLVD, AUBURN HILLS, MI 48326-3481
(248) 724-1420
(248) 724-1430

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
4301080465
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093833535
NPI
MI
Enumeration date
03/20/2014
Last updated
05/21/2014
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