# BIG RAPIDS UROLOGY CENTER PC

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

## Provider details

- **NPI number:** 1427128065
- **Authorized official:** DR. VIRINDER K BHARDWAJ MD (OWNER PRESIDENT)
- **Authorized official phone:** (231) 796-4700

## Contact information

- **Practice address:** 123 S WARREN, BIG RAPIDS, MI 49307
- **Practice address phone:** (231) 796-4700
- **Practice address fax:** (231) 796-3577
- **Mailing address:** 123 S WARREN, BIG RAPIDS, MI 49307
- **Mailing address phone:** (231) 796-4700
- **Mailing address fax:** (231) 796-3577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4301044214 | MI | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 06/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3405400531 | BCBS | MI |
| 05 | — | 4355774 | — | MI |