Organization
ADVANCED UROGYNECOLOGY OF MICHIGAN, P.C.
Active
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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