Organization
VERNOR URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER A HURAIBI MD (OWNER PHYSICIAN)
(313) 254-9693
Entity
Organization
Contact information
Practice address
3456 W VERNOR HWY, DETROIT, MI 48216-1551
(313) 254-9693
(734) 629-1567
Mailing address
3456 W VERNOR HWY, DETROIT, MI 48216-1551
(313) 254-9693
(734) 629-1567
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487085395
AETNA ANCILLARY
MI
01
—
700H286540
BC ANCILLARY PIN
MI
Enumeration date
12/02/2013
Last updated
12/10/2020
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