WEST DEARBORN URGENT CARE PLLC NPI 1124788666

NPI Information

WEST DEARBORN URGENT CARE PLLC is an urgent care clinic center in Dearborn, MI. WEST DEARBORN URGENT CARE PLLC NPI is 1124788666. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2421 MONROE ST STE 102
DEARBORN, MI
ZIP 48124-043
Phone: (313) 447-0888
Fax: (313) 458-4004

The provider's authorized official is Ghattas Alkhoury .
The authorized official title is Medical Doctor/owner and has the following contact phone number (419) 481-1945.

The CLIA number assigned to this NPI record is 23D2248896 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/25/2021 and was last updated on 5/4/2022.

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:

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