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Organization

OXFORD URGENT CARE P L C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TABATHA LEANNE STAGE (BILLING MANAGER)
(248) 853-2009
Entity
Organization

Contact information

Practice address
72 S WASHINGTON ST, SUITE 102, OXFORD, MI 48371-6421
(248) 236-8333
(248) 236-8666
Mailing address
72 S WASHINGTON ST, SUITE 102, OXFORD, MI 48371-6421
(248) 236-8333
(248) 236-8666

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
261QU0200X
Urgent Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700036936
BLUE CARE NETWORK OF MI
MI
05
1700036936
MI
01
170036936
COMMERCIAL
MI
01
700F379500
BCBS OF MICHIGAN
MI
Enumeration date
09/24/2008
Last updated
07/21/2009
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