# ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
- **Other names:** Michigan Institute of Urology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598865735
- **Legal business name:** ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
- **Authorized official:** TRACY LEE MCAULEY (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (586) 771-4820

## Contact information

- **Practice address:** 25 MICHIGAN ST NE, SUITE 3300, GRAND RAPIDS, MI 49503-2515
- **Practice address phone:** (616) 459-4171
- **Practice address fax:** (616) 459-0044
- **Mailing address:** 25 MICHIGAN ST NE STE 3300, GRAND RAPIDS, MI 49503-2558
- **Mailing address phone:** (616) 459-4171
- **Mailing address fax:** (616) 459-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | MI | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 09/02/2026