WYANDOTTE URGENT CARE
NPI 1548790959
Clinic/Center - Urgent Care in Wyandotte, MI

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

Active since June 18, 2017

1768 FORD AVE, WYANDOTTE, MI 48192(313) 377-5758 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 19, 2022, Jul 21, 2022, Apr 29, 2021 and 1 more (4 updates tracked since 2017).

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Urgent Care

About WYANDOTTE URGENT CARE

This page provides the complete NPI Profile along with additional information for Wyandotte Urgent Care, a provider established in Wyandotte, Michigan operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1548790959 assigned on June 2017. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Ibrahim Dabaja Pa-c (Ceo)

NPI: 1548790959 Verify this NPI
Provider Name: WYANDOTTE URGENT CARE
Entity Type: Organization
Location Address: 1768 FORD AVE WYANDOTTE, MI 48192
Location Phone: (313) 377-5758
Mailing Address: 1768 FORD AVE WYANDOTTE, MI 48192
Mailing Phone: (734) 299-0712
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-18-2017
Last Update Date: 12-19-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Urgent Care
Taxonomy Code: 261QU0200X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: IBRAHIM DABAJA PA-C
Authorized Official Title: CEO
Authorized Official Phone: (734) 299-0712