Organization
MICHIGAN INSTITUTE OF UROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LEE MCAULEY (CREDENTIALING)
(586) 771-4820
Entity
Organization
Contact information
Practice address
1202 WALTON BLVD STE 211, ROCHESTER, MI 48307-6917
(248) 650-4699
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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