Organization
OAKLAND COUNTY UROLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LIM DO (PRESIDENT)
(248) 674-8530
Entity
Organization
Contact information
Practice address
3145 DIXIE HWY, WATERFORD, MI 48328-1602
(248) 674-8530
Mailing address
3145 DIXIE HWY, WATERFORD, MI 48328-1602
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
KL007576
MI
208800000X
Urology Physician
Primary
LC001596
MI
208800000X
Urology Physician
WM007547
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506795
—
MI
05
—
1764655
—
MI
05
—
3484033
—
MI
Enumeration date
09/20/2005
Last updated
08/22/2020
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