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Organization
ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
Active
Organization
ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
Active
Parent organization
ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
Other names
Michigan Institute of Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
Authorized official
TRACY LEE MCAULEY (CREDENTIALING SUPERVISOR)
(586) 771-4820
Entity
Organization
Contact information
Practice address
25 MICHIGAN ST NE, SUITE 3300, GRAND RAPIDS, MI 49503-2515
(616) 459-4171
(616) 459-0044
Mailing address
25 MICHIGAN ST NE STE 3300, GRAND RAPIDS, MI 49503-2558
(616) 459-4171
(616) 459-0044
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
MI
332900000X
Non-Pharmacy Dispensing Site
—
NULL
Other
Enumeration date
09/25/2006
Last updated
09/02/2026
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