Organization
MEADOWBROOK URGENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONA WADLE D.O (OWNER)
(248) 919-4900
Entity
Organization
Contact information
Practice address
33722 WOODWARD AVE, BIRMINGHAM, MI 48009-0912
(248) 919-4900
(248) 919-4901
Mailing address
33722 WOODWARD AVE, BIRMINGHAM, MI 48009-0912
(248) 919-4900
(248) 919-4901
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
5101013830
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F306420
BCBS PROVIDER NUMBER
MI
Enumeration date
03/06/2008
Last updated
07/08/2009
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