| Masonic Urgent Care Center | |
|
21099 Masonic Blvd Saint Clair Shores MI 48082-1045 | |
| (586) 296-6213 | |
| (586) 296-8180 |
| Full Name | Masonic Urgent Care Center |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 21099 Masonic Blvd, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Jennifer Johnson (DIRECTOR) |
| Authorized Official Contact | 5862284560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masonic Urgent Care Center 21099 Masonic Blvd Saint Clair Shores MI 48082-1045 Ph: (586) 296-6213 | Masonic Urgent Care Center 21099 Masonic Blvd Saint Clair Shores MI 48082-1045 Ph: (586) 296-6213 |
| NPI Number | 1386892834 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386892834 | NPI | - | NPPES |
| 700E034110 | Other | MI | BCBS GROUP NUMBER |
| 700E014700 | Other | MI | BCBS GROUP NUMBER |
| 700E031610 | Other | MI | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Michigan) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (Michigan) | Primary |
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