Michigan Institute Of Urology, PC
Durable Medical Equipment & Medical Supplies in Warren, MI. Organization (NPI-2).
NPI number1144469883
StatusActive
Last updated in NPPESMar 11, 2011
Details
- NPI
- 1144469883
- Entity type
- Organization (NPI-2)
- Legal business name
- Michigan Institute Of Urology, PC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2009
- Last updated
- Mar 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 208800000X | Urology | – | – |
Practice location
13251 E 10 Mile RdSte 200
Warren, MI 48089-2076
Phone 586-758-0123 · Fax 586-758-5264
Mailing address
20952 E 12 Mile RdSuite 200
Saint Clair Shores, MI 48081-3200
Phone 586-771-4820 · Fax 586-771-6620
Authorized official
Alphonse M Santino
President
5867714820
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