# DYNAMIC UROCARE PC

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

## Provider details

- **NPI number:** 1114257540
- **Authorized official:** DR. DAVID BURKS M.D. (OWNER)
- **Authorized official phone:** (734) 662-1973

## Contact information

- **Practice address:** 18100 OAKWOOD BLVD, STE 315, DEARBORN, MI 48124-4085
- **Practice address phone:** (313) 593-8057
- **Mailing address:** 18100 OAKWOOD BLVD, STE 315, DEARBORN, MI 48124-4085
- **Mailing address phone:** (313) 593-8057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4301405433 | MI | Yes |

## Other

- **Enumeration date:** 01/07/2010
- **Last updated:** 01/07/2010