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Organization
UROLOGY SURGEONS PC
Active
Organization
UROLOGY SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROHAN LOBO MD (CEO)
(616) 949-4340
Entity
Organization
Contact information
Practice address
1000 E PARIS AVE SE STE 230, GRAND RAPIDS, MI 49546-3680
(616) 949-4340
(616) 949-4341
Mailing address
1000 E PARIS AVE SE STE 230, GRAND RAPIDS, MI 49546-3680
(616) 949-4340
(616) 949-4341
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340D160430
BCBSM
MI
01
—
CB0580
RAILROAD MEDICARE
MI
Enumeration date
08/30/2006
Last updated
09/19/2024
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