Organization
SOUTHGATE URGENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARAH IFTIKHAR MD (OWNER PRESIDENT)
(734) 324-7800
Entity
Organization
Contact information
Practice address
14523 NORTHLINE RD, SOUTHGATE, MI 48195-2446
(734) 324-7800
(734) 324-7801
Mailing address
L-4380, COLUMBUS, OH 43260-0001
(734) 324-7800
(734) 324-7801
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
4301065784
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H228480
BCN
MI
Enumeration date
12/05/2007
Last updated
10/17/2023
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