Primecare Urgent Care PLLC
Clinic/Center, Urgent Care in Novi, MI. Organization (NPI-2).
NPI number1174875140
StatusActive
Last updated in NPPESDec 11, 2013
Details
- NPI
- 1174875140
- Entity type
- Organization (NPI-2)
- Legal business name
- Primecare Urgent Care PLLC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2012
- Last updated
- Dec 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Practice location
39555 W 10 Mile RdSuite 301
Novi, MI 48375-2950
Phone 248-426-7200
Mailing address
39555 W 10 Mile RdSuite 301
Novi, MI 48375-2950
Authorized official
Theodore Shively
Owner
2487552274
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