Organization
FENTON LATE HOURS CLINIC II PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE L DURMON (BILLER)
(810) 629-7511
Entity
Organization
Contact information
Practice address
102 N ADELAIDE ST, FENTON, MI 48430-2670
(810) 629-7511
(810) 629-6535
Mailing address
102 N ADELAIDE ST, FENTON, MI 48430-2670
(810) 629-7511
(810) 629-6535
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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