# UROLOGY SURGEONS PC

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

## Provider details

- **NPI number:** 1467561480
- **Authorized official:** DR. JOHN ROHAN LOBO MD (CEO)
- **Authorized official phone:** (616) 949-4340

## Contact information

- **Practice address:** 1000 E PARIS AVE SE STE 230, GRAND RAPIDS, MI 49546-3680
- **Practice address phone:** (616) 949-4340
- **Practice address fax:** (616) 949-4341
- **Mailing address:** 1000 E PARIS AVE SE STE 230, GRAND RAPIDS, MI 49546-3680
- **Mailing address phone:** (616) 949-4340
- **Mailing address fax:** (616) 949-4341

## Taxonomy

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

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 09/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 340D160430 | BCBSM | MI |
| 01 | — | CB0580 | RAILROAD MEDICARE | MI |