Organization
WESTERN WAYNE URGENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED A ARSIWALA MD (OWNER PRESIDENT)
(734) 259-0500
Entity
Organization
Contact information
Practice address
2050 N HAGGERTY RD, SUITE 140, CANTON, MI 48187-3795
(734) 259-0500
(734) 259-0505
Mailing address
PO BOX 32588, 08, DETROIT, MI 48232-0588
(734) 259-0500
(734) 259-0505
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
4301075100
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H232390
BCN
MI
Enumeration date
12/05/2007
Last updated
04/02/2015
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