Organization
GRANITE CITY URGENT CARE WALK-IN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIAN RIZWAN (PROVIDER)
(314) 317-0600
Entity
Organization
Contact information
Practice address
2861 MADISON AVE, GRANITE CITY, IL 62040-3614
(734) 771-8504
(313) 948-3041
Mailing address
2861 MADISON AVE, GRANITE CITY, IL 62040-3614
(618) 709-7723
(618) 709-7706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
MO
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
02/10/2021
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