| 12 and Dequindre Urgent LLC | |
|
28373 Dequindre Rd Madison Heights MI 48071-3003 | |
| (248) 677-3660 | |
| Not Available |
| Full Name | 12 and Dequindre Urgent LLC |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 28373 Dequindre Rd, Madison Heights, Michigan |
| Authorized Official Name and Position | Abdullatif Antoon Yaldo (OWNER) |
| Authorized Official Contact | 2487551248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 12 and Dequindre Urgent LLC 28373 Dequindre Rd Madison Heights MI 48071-3003 Ph: (248) 677-3660 | 12 and Dequindre Urgent LLC 28373 Dequindre Rd Madison Heights MI 48071-3003 Ph: (248) 677-3660 |
| NPI Number | 1336829340 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336829340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
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