Organization
GROSS POINTE UROLOGIC SURGEONS
Active
Other names
THOMAS MERTZ MD
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SECHRIST (OFFICE MANAGER)
(586) 773-6210
Entity
Organization
Contact information
Practice address
18325 E 10 MILE RD, STE 200, ROSEVILLE, MI 48066-4990
(586) 773-6300
(586) 773-6266
Mailing address
18325 E 10 MILE RD, STE 200, ROSEVILLE, MI 48066-4990
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
TM035307
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1313743
—
MI
01
—
2368478
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
08/22/2020
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