| Metro Urgent Care & Family Medical Center Pc | |
|
752 Southfield Rd Lincoln Park MI 48146-2610 | |
| (313) 388-1400 | |
| (313) 388-2366 |
| Full Name | Metro Urgent Care & Family Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 752 Southfield Rd, Lincoln Park, Michigan |
| Authorized Official Name and Position | Theophilus Osayi Ulinfun (OWNER) |
| Authorized Official Contact | 3133881400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Urgent Care & Family Medical Center Pc 752 Southfield Rd Lincoln Park MI 48146-2610 Ph: (313) 388-1400 | Metro Urgent Care & Family Medical Center Pc 752 Southfield Rd Lincoln Park MI 48146-2610 Ph: (313) 388-1400 |
| NPI Number | 1740450303 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 12/19/2013 |
| Medicare PECOS PAC ID | 5597843623 |
|---|---|
| Medicare Enrollment ID | O20080415000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740450303 | NPI | - | NPPES |
| 4167809 | Medicaid | MI | |
| 0858206604 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101 010840 (Michigan) | Primary |
| Provider Name | Theophilus O Ulinfun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043281272 PECOS PAC ID: 1153409289 Enrollment ID: I20080415000473 |
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