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Organization

CLARKSTON URGENT CARE PLC

Active
Other names
CLARKSTON URGENT CARE PLC
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY R O'NEILL DO (CEO / PRESIDENT)
(248) 625-2273
Entity
Organization

Contact information

Practice address
5701 BOW POINTE DR, SUITE 120, CLARKSTON, MI 48346-3198
(248) 625-2273
(248) 625-6336
Mailing address
5701 BOW POINTE DR, SUITE 120, CLARKSTON, MI 48346-3198
(248) 625-2273
(248) 625-6336

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
5101015584
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
740F394110
BC TRAD UC NETWORK
MI
Enumeration date
05/09/2008
Last updated
03/23/2011
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