Aspen Urgent Care
Exclusive Provider Organization in Lambertville, MI. Organization (NPI-2).
NPI number1114107331
StatusActive
Last updated in NPPESNov 5, 2007
Details
- NPI
- 1114107331
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspen Urgent Care
- Organization subpart
- No
- Enumeration date
- Nov 5, 2007
- Last updated
- Nov 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | 4301088893 | MI | Yes |
Practice location
7581 Secor RdLambertville, MI 48144-9624
Phone 734-856-6360
Mailing address
5501 McLain DrSylvania, OH 43560-2513
Phone 419-882-5937
Authorized official
Alaa Nadour
Physician
4192154109
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