Alliance Physician Services Of Michigan, P.C.
Durable Medical Equipment & Medical Supplies in Troy, MI. Organization (NPI-2).
NPI number1295817799
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1295817799
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Physician Services Of Michigan, P.C.
- Organization subpart
- Yes
- Enumeration date
- Oct 20, 2006
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 208800000X | Urology | – | – | |
| 2088P0231X | Urology, Pediatric Urology | – | – | |
| 332900000X | Non-Pharmacy Dispensing Site | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Michigan Institute Of Urology (Doing Business As)
Practice location
130 Town Center DriveSuite 101
Troy, MI 48084-1773
Phone 248-740-0670 · Fax 248-740-0668
Mailing address
20952 E 12 Mile Rd Ste 200Saint Clair Shores, MI 48081-3203
Phone 586-771-4820 · Fax 586-771-6620
Authorized official
Tracy Lee Mcauley
Credentialing Supervisor
5867714820
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