Organization
UROLOGIC CLINIC OF SOUTHEASTERN MICHIGAN PLC
Active
Other names
JOHN F HARB MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FREDERCIK HARB MD (OWNER)
(734) 462-5858
Entity
Organization
Contact information
Practice address
39000 7 MILE RD STE 2700, LIVONIA, MI 48152-1006
(734) 462-5858
(734) 462-5860
Mailing address
39000 7 MILE RD STE 2700, LIVONIA, MI 48152-1006
(734) 462-5858
(734) 462-5860
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301061957
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0827697
BLUE CROSS
MI
01
—
126793
CARE CHOICES
MI
01
—
17069
M CARE
MI
01
—
340016693
GBA RAILROAD MEDICARE
IL
01
—
340H249310
BLUE CROSS BLUE SHIELD MI
MI
05
—
4105806
—
MI
01
—
5211703
AETNA
MI
Enumeration date
01/17/2007
Last updated
12/15/2025
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