# UROLOGIC CLINIC OF SOUTHEASTERN MICHIGAN PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JOHN F HARB MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982756433
- **Authorized official:** DR. JOHN FREDERCIK HARB MD (OWNER)
- **Authorized official phone:** (734) 462-5858

## Contact information

- **Practice address:** 39000 7 MILE RD STE 2700, LIVONIA, MI 48152-1006
- **Practice address phone:** (734) 462-5858
- **Practice address fax:** (734) 462-5860
- **Mailing address:** 39000 7 MILE RD STE 2700, LIVONIA, MI 48152-1006
- **Mailing address phone:** (734) 462-5858
- **Mailing address fax:** (734) 462-5860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4301061957 | MI | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 12/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0827697 | BLUE CROSS | MI |
| 01 | — | 126793 | PREFERRED CHOICES | MI |
| 01 | — | 17069 | M CARE | MI |
| 01 | — | 340016693 | GBA RAILROAD MEDICARE | IL |
| 01 | — | 340H249310 | BLUE CROSS BLUE SHIELD MI | MI |
| 05 | — | 4105806 | — | MI |
| 01 | — | 5211703 | AETNA | MI |