Organization
WASHTENAW UROLOGY CLINIC PC
Active
Other names
Jackson Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN P SYKES MD (PRESIDENT)
(517) 782-7474
Entity
Organization
Contact information
Practice address
1010 BURR STREET, JACKSON, MI 49201
(517) 782-7474
(517) 782-2128
Mailing address
1010 BURR STREET, JACKSON, MI 49201
(517) 782-7474
(517) 782-2128
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
JS056395
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689762916
NPI
—
05
—
3421964
—
MI
05
—
4108684
—
MI
Enumeration date
12/20/2006
Last updated
07/24/2012
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