Organization
ADVANCED UROGYNECOLOGY OF MICHIGAN, P.C.
Active
Other names
Advanced Urogynecology of Michigan PC
Organization subpart
No
Provider details
NPI number
Authorized official
DOLLANDRA CARBIN (BILLING AND CREDENTIALING)
(313) 982-0228
Entity
Organization
Contact information
Practice address
22731 NEWMAN ST STE 200, DEARBORN, MI 48124-2023
(313) 982-0200
(313) 982-0500
Mailing address
22731 NEWMAN STREET, SUITE 200, DEARBORN, MI 48124
(313) 982-0200
(313) 982-0500
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
03/14/2006
Last updated
07/23/2024
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