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Organization

MEDEXPRESS URGENT CARE, PC - MICHIGAN

Active
Other names
MedExpress Urgent Care - Port Huron, Pine Grove Ave
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIM BUGIN (VP OF PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization

Contact information

Practice address
3550 PINE GROVE AVE, PORT HURON, MI 48060-1944
(810) 989-2530
(810) 987-0384
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1649694407
MI
Enumeration date
02/13/2014
Last updated
09/14/2016
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