Organization
QUICK CARE FAMILY MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAV LO M.D. (OWNER)
(231) 348-2828
Entity
Organization
Contact information
Practice address
1890 S US HIGHWAY 131, SUITE 4, PETOSKEY, MI 49770-8344
(231) 487-2000
Mailing address
1890 S US HIGHWAY 131, SUITE 4, PETOSKEY, MI 49770-8344
(231) 487-2000
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700B41015
BCBS
MI
Enumeration date
07/29/2011
Last updated
04/29/2014
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