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Dynamic Urocare PC

Urology in Dearborn, MI. Organization (NPI-2).

NPI number1114257540
StatusActive
Last updated in NPPESJan 7, 2010

Details

NPI
1114257540
Entity type
Organization (NPI-2)
Legal business name
Dynamic Urocare PC
Organization subpart
No
Enumeration date
Jan 7, 2010
Last updated
Jan 7, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology4301405433MIYes

Practice location

18100 Oakwood Blvd
Ste 315
Dearborn, MI 48124-4085

Phone 313-593-8057

Mailing address

18100 Oakwood Blvd
Ste 315
Dearborn, MI 48124-4085

Phone 313-593-8057

Authorized official

David Burks
Owner
7346621973

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