Organization
12 AND DEQUINDRE URGENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLATIF ANTOON YALDO (OWNER)
(248) 755-1248
Entity
Organization
Contact information
Practice address
28373 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3003
(248) 677-3660
Mailing address
28373 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3003
(248) 677-3660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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