# ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
- **Other names:** Urological Services PC, Michigan Institute of Urology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396571436
- **Legal business name:** ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
- **Authorized official:** TRACY LEE MCAULEY (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (586) 771-4820

## Contact information

- **Practice address:** 1121 W HILL RD, FLINT, MI 48507-4733
- **Practice address phone:** (810) 232-8888
- **Practice address fax:** (810) 232-9190
- **Mailing address:** 20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
- **Mailing address phone:** (586) 771-4820
- **Mailing address fax:** (586) 771-7960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 09/13/2024
- **Last updated:** 09/02/2026