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Organization
GROSSE POINTE UROLOGIC SURGEONS
Active
Organization
GROSSE POINTE UROLOGIC SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINESH JOHN TELANG MD (PARTNER)
(586) 773-6300
Entity
Organization
Contact information
Practice address
18325 10 MILE, STE 200, ROSEVILLE, MI 48066
(586) 773-6300
(586) 773-6266
Mailing address
18325 10 MILE, STE 200, ROSEVILLE, MI 48066
(586) 773-6300
(586) 773-6266
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
—
0E01005
BCBS
MI
01
—
C10675
RAILROAD MEDICARE PIN
MI
Enumeration date
05/05/2006
Last updated
04/15/2008
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