# CHELSEA PROFESSIONAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Associates in Urology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700048360
- **Authorized official:** MICHAEL PAUL GUSHO (CFO)
- **Authorized official phone:** (231) 672-3886

## Contact information

- **Practice address:** 515 S MAIN ST, CHELSEA, MI 48118-1504
- **Practice address phone:** (734) 475-3535
- **Mailing address:** 515 S MAIN ST, CHELSEA, MI 48118-1504
- **Mailing address phone:** (734) 475-3535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | HU046819 | MI | Yes |

## Other

- **Enumeration date:** 06/25/2008
- **Last updated:** 05/04/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0H10723 | BCBSM | MI |
| 05 | — | 102705381 | — | MI |
| 01 | — | 3408102461 | BCBSM | MI |