# ALLIANCE PHYSICIAN SERVICES OF MICHIGAN, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urologic Consultants, Michigan Institute of Urology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619748191
- **Authorized official:** TRACY LEE MCAULEY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (586) 771-4820

## Contact information

- **Practice address:** 2093 HEALTH DR SW STE 202, WYOMING, MI 49519-9691
- **Practice address phone:** (586) 771-4820
- **Mailing address:** 20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
- **Mailing address phone:** (586) 771-4820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/12/2024
- **Last updated:** 09/03/2026