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Organization
TRI-COUNTY UROLOGISTS P.C
Active
Organization
TRI-COUNTY UROLOGISTS P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD W WADLE DO (PHYSCIAN)
(734) 261-7417
Entity
Organization
Contact information
Practice address
14800 FARMINGTON RD, STE 108, LIVONIA, MI 48154-5461
(734) 261-7401
(734) 261-7417
Mailing address
17405 HALL RD, STE B, MACOMB, MI 48044-4061
(586) 228-0150
(586) 228-0154
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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