Organization
URGENT CARE AID MACOMB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J KANTOR MD (OWNER)
(248) 508-7550
Entity
Organization
Contact information
Practice address
16820 21 MILE RD, MACOMB, MI 48044
(248) 508-7550
Mailing address
16820 21 MILE RD, MACOMB, MI 48044
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770522401
NPI
MI
Enumeration date
02/01/2021
Last updated
02/01/2021
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