Organization · NPI-2

Bosworth Urgent Care, PC

Family Medicine · Okemos, MI

NPI number1447676283
StatusActive
Last updated in NPPESMar 17, 2014

Details

NPI
1447676283
Entity type
Organization (NPI-2)
Legal business name
Bosworth Urgent Care, PC
Organization subpart
Yes
Enumeration date
Mar 17, 2014
Last updated
Mar 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Grand River Family Care (Doing Business As)

Practice location

1881 W Grand River Ave
Okemos, MI 48864-1840

Phone 517-339-2100

Mailing address

1701 Lake Lansing Rd
Suite 100
Lansing, MI 48912-3798

Phone 517-485-0001

Authorized official

Quinn Bosworth
Ownder
5173392100

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