Organization
RODERICK M URBANIAK, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINGER LYNN WIERSMA 6162184495 (OFFICE MANAGER)
(616) 218-4495
Entity
Organization
Contact information
Practice address
609 LAKEVIEW RD, CLEARWATER, FL 33756-3335
(727) 447-4536
(727) 442-1600
Mailing address
609 LAKEVIEW RD, CLEARWATER, FL 33756-3335
(727) 447-4536
(727) 442-1600
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301083724
MI
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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