Basic Information
| Provider Information | |||||||||
| NPI: | 1528586674 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARPER WOODS URGENT CARE AND MEDICAL CENTER PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3396 | ||||||||
| Address2: | |||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480373396 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3134991951 | ||||||||
| FaxNumber: | 3133321857 | ||||||||
| Practice Location | |||||||||
| Address1: | 19959 VERNIER RD STE 400 | ||||||||
| Address2: | |||||||||
| City: | HARPER WOODS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482251471 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3134991951 | ||||||||
| FaxNumber: | 3133321857 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/08/2017 | ||||||||
| LastUpdateDate: | 09/08/2017 | ||||||||
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| AuthorizedOfficialLastName: | AL-JARRAH | ||||||||
| AuthorizedOfficialFirstName: | MOHAMAD | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3134991951 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.