Organization
MEADOWBROOK URGENT CARE II PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONA WADLE D.O (OWNER/ MEDICAL DIRECTOR)
(248) 476-8500
Entity
Organization
Contact information
Practice address
25500 MEADOWBROOK RD, SUITE 190, NOVI, MI 48375-1878
(248) 476-8500
(248) 522-0041
Mailing address
25500 MEADOWBROOK RD, SUITE 190, NOVI, MI 48375-1878
(248) 476-8500
(248) 522-0041
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
5101013830
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H65468
UPIN
MI
Enumeration date
10/14/2009
Last updated
10/14/2009
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