# PREFERRED UROLOGY CONSULTANTS, P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063625382
- **Authorized official:** DR. MICHAEL DAVID LUTZ M.D. (PRESIDENT)
- **Authorized official phone:** (248) 353-3060

## Contact information

- **Practice address:** 29201 TELEGRAPH RD, SUITE 460, SOUTHFIELD, MI 48034-1331
- **Practice address phone:** (248) 353-3060
- **Practice address fax:** (248) 353-0312
- **Mailing address:** 29201 TELEGRAPH RD, SUITE 460, SOUTHFIELD, MI 48034-1331
- **Mailing address phone:** (248) 353-3060
- **Mailing address fax:** (248) 353-0312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4301049075 | MI | — |
| 208800000X | Urology Physician | 4301062234 | MI | Yes |
| 208800000X | Urology Physician | 4301067706 | MI | — |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 02/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1215919048 | NPI JAMES D RELLE MD | MI |
| 01 | — | 1326020157 | NPI MICHAEL D LUTZ | MI |
| 01 | — | 1831171669 | NPI BRIAN D SEIFMAN MD | MI |
| 05 | — | 2758760 | — | MI |
| 05 | — | 2995460 | — | MI |
| 01 | — | 3406361431 | BCBS FOR BRIAN SEIFMAN | MI |
| 01 | — | 3406361441 | BCBS FOR MICHAEL D LUTZ | MI |
| 01 | — | 3406361451 | BCBS FOR JAMES D RELLE | MI |
| 01 | — | 4301049075 | LICENSE MICHAEL D LUTZ MD | MI |
| 01 | — | 4301062234 | LICENSE JAMES D RELLE MD | MI |
| 01 | — | 4301067706 | LICENSE BRIAN SEIFMAN MD | MI |
| 05 | — | 4513238 | — | MI |