Individual
DR. RODERICK M URBANIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13201 WALSINGHAM RD STE 200, LARGO, FL 33774
(616) 459-4131
(616) 459-6030
Mailing address
245 CHERRY STREET S.E., SUITE 302, GRAND RAPIDS, MI 49503-4607
(616) 459-4131
(616) 459-6030
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
4301083724
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301083724
MI
Other
Enumeration date
05/07/2007
Last updated
07/30/2018
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