| Lakeside Urgent Care, P.c. | |
|
44472 Hayes Rd Clinton Township MI 48038-1090 | |
| (586) 412-0890 | |
| (586) 412-1069 |
| Full Name | Lakeside Urgent Care, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 44472 Hayes Rd, Clinton Township, Michigan |
| Authorized Official Name and Position | Tabatha Leanne Stage (BILLING MANAGER) |
| Authorized Official Contact | 2488532009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Urgent Care, P.c. 44472 Hayes Rd Clinton Township MI 48038-1090 Ph: (586) 412-0890 | Lakeside Urgent Care, P.c. 44472 Hayes Rd Clinton Township MI 48038-1090 Ph: (586) 412-0890 |
| NPI Number | 1811226442 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 12/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811226442 | NPI | - | NPPES |
| 1720159304 | Medicaid | MI | |
| 700E001600 | Other | MI | BLUE CARE NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Michigan) | Primary |
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