Organization
MICHIGAN INSTITUTE OF UROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHONSE M SANTINO MD (PRESIDENT)
(586) 771-4820
Entity
Organization
Contact information
Practice address
13251 E 10 MILE RD, STE 200, WARREN, MI 48089-2076
(586) 758-0123
(586) 758-5264
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/19/2009
Last updated
03/11/2011
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