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Organization
ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
Active
Organization
ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.
Active
Other names
Urologic Consultants, Michigan Institute of Urology
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LEE MCAULEY (CREDENTIALING SPECIALIST)
(586) 771-4820
Entity
Organization
Contact information
Practice address
2093 HEALTH DR SW STE 202, WYOMING, MI 49519-9691
(586) 771-4820
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
01/12/2024
Last updated
09/03/2026
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