Organization
GROSSE ILE URGENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED A ARSIWALA MD (OWNER MEDICAL DIRECTOR PHYSICIAN)
(734) 365-5200
Entity
Organization
Contact information
Practice address
8944 MACOMB ST, GROSSE ILE, MI 48138-2089
(734) 365-5200
(734) 365-5201
Mailing address
PO BOX 32588 05, DETROIT, MI 48232-0588
(734) 365-5200
(734) 365-5201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301065784
MI
207R00000X
Internal Medicine Physician
Primary
4301065784
MI
261QU0200X
Urgent Care Clinic/Center
4301075100
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5198748
—
MI
05
—
5198757
—
MI
01
—
700H203090
BLUE CARE NETWORK
MI
Enumeration date
05/16/2007
Last updated
05/22/2008
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