Provider Demographics
NPI:1649425471
Name:CHOICE URGENT CARE OF MICHIGAN P.C,
Entity type:Organization
Organization Name:CHOICE URGENT CARE OF MICHIGAN P.C,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJID
Authorized Official - Middle Name:M
Authorized Official - Last Name:TAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-398-0444
Mailing Address - Street 1:41750 MICHIGAN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188
Mailing Address - Country:US
Mailing Address - Phone:734-398-0444
Mailing Address - Fax:734-398-0446
Practice Address - Street 1:41750 MICHIGAN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-2679
Practice Address - Country:US
Practice Address - Phone:734-398-0444
Practice Address - Fax:734-398-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care