Organization
ELITE URGENT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYAM M MIHTAR RMA (PRESIDENT)
(313) 736-5004
Entity
Organization
Contact information
Practice address
15301 TIREMAN AVE, STE-A, DEARBORN, MI 48126-1045
(313) 736-5004
Mailing address
5293 HARTWELL ST, DEARBORN, MI 48126-3309
(313) 736-5004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
10/09/2014
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