Organization
MICHIGAN UROLOGICAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HILDA GIAMBINO (OFFICE MANAGER)
(248) 569-0155
Entity
Organization
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 203, SOUTHFIELD, MI 48075-4825
(248) 569-0155
(248) 569-5226
Mailing address
22250 PROVIDENCE DR, SUITE 203, SOUTHFIELD, MI 48075-4825
(248) 569-0155
(248) 569-5226
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
JO085172
MI
208800000X
Urology Physician
JS041027
MI
208800000X
Urology Physician
PH063189
MI
208800000X
Urology Physician
Primary
RW045789
MI
Other
Enumeration date
01/11/2007
Last updated
01/20/2010
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