Primary Medical Urgent Care P.C.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

4301084438 Issued in MI

Legal business name

PRIMARY MEDICAL URGENT CARE P.C.

Practice address

24503 John R Rd
Hazel Park, MI 48030-1141

Phone

(248) 629-6440

Fax

(248) 629-6445

NPI assigned

Apr 20, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrycja Izabella Czesnowski, M.D.

Title

Medical Director

Phone

(248) 629-6440

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397952000000",
    "number": "1386064129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24503 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301141",
            "telephone_number": "248-629-6440",
            "fax_number": "248-629-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24503 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301141",
            "telephone_number": "248-629-6440",
            "fax_number": "248-629-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL URGENT CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-20",
        "last_updated": "2014-04-20",
        "status": "A",
        "authorized_official_last_name": "CZESNOWSKI",
        "authorized_official_first_name": "PATRYCJA",
        "authorized_official_middle_name": "IZABELLA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-629-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": "4301084438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Urgent Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.