Organization
SUMMIT URGENT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHIR HASAN MD (MEDICAL DIRECTOR)
(586) 598-8115
Entity
Organization
Contact information
Practice address
21844 23 MILE RD, MACOMB, MI 48042-4422
(586) 598-8115
(586) 598-8117
Mailing address
21844 23 MILE RD, MACOMB, MI 48042-4422
(586) 598-8115
(586) 598-8117
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029492
MIDWEST HEALTH PLAN
—
01
—
061918
HEALTH ALLIANCE PLAN
—
01
—
154262
GREAT LAKES HEALTH PLAN
—
Enumeration date
10/02/2007
Last updated
10/02/2007
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