# TRI-COUNTY UROLOGISTS P.C

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

## Provider details

- **NPI number:** 1154573442
- **Authorized official:** DR. RONALD W WADLE DO (PHYSCIAN)
- **Authorized official phone:** (734) 261-7417

## Contact information

- **Practice address:** 14800 FARMINGTON RD, STE 108, LIVONIA, MI 48154-5461
- **Practice address phone:** (734) 261-7401
- **Practice address fax:** (734) 261-7417
- **Mailing address:** 17405 HALL RD, STE B, MACOMB, MI 48044-4061
- **Mailing address phone:** (586) 228-0150
- **Mailing address fax:** (586) 228-0154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2008
- **Last updated:** 10/17/2008