# TRI-COUNTY UROLOGISITS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780823427
- **Authorized official:** DR. RONALD W WADLE DO (PARTNER)
- **Authorized official phone:** (734) 261-7401

## Contact information

- **Practice address:** 27483 DEQUINDRE, STE 308, MADISON HEIGHTS, MI 48071
- **Practice address phone:** (248) 398-6980
- **Practice address fax:** (248) 336-3044
- **Mailing address:** 14800 FARMINGTON RD, STE 108, LIVONIA, MI 48154-5461
- **Mailing address phone:** (734) 261-7438
- **Mailing address fax:** (734) 261-7417

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 02/20/2009