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Organization

FAMILY URGENT CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA EL MASRI (CREDENTIALING COORDINATOR)
(248) 215-0048
Entity
Organization

Contact information

Practice address
1340 S COMMERCE RD, WALLED LAKE, MI 48390-3010
(313) 485-4513
Mailing address
1340 S COMMERCE RD, WALLED LAKE, MI 48390-3010

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MI
Enumeration date
12/20/2020
Last updated
02/16/2021
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