Organization
GTUC-MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALID MAHMOUD MD (PRESIDENT)
(734) 206-2016
Entity
Organization
Contact information
Practice address
6601 LEWIS AVE, TEMPERANCE, MI 48182-1209
(734) 206-2016
Mailing address
PO BOX 631545, CINCINNATI, OH 45263-1545
(859) 291-4800
(833) 694-1507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/04/2021
Last updated
01/12/2022
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