DOWNRIVER CLINIC PC NPI 1104063817

NPI Information

NPI: 1104063817
Provider Name: DOWNRIVER CLINIC PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
8944 MACOMB ST
GROSSE ILE, MI
ZIP 48138
Phone: (734) 675-0705
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DOWNRIVER CLINIC PC is an urgent care clinic center in Grosse Ile, MI. DOWNRIVER CLINIC PC NPI is 1104063817. The provider is registered as an organization entity type.

The provider's business location address is:

8944 MACOMB ST
GROSSE ILE, MI
ZIP 48138-089
Phone: (734) 675-0705
Fax: (734) 675-0747

The provider's authorized official is Mounir Khaled .
The authorized official title is Owner Medical Director Physician and has the following contact phone number (734) 675-0705.

The enumeration date for this NPI number is 1/16/2009 and was last updated on 4/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	4301091157	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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