institution
Urologic Clinic Of Southeastern Michigan Plc
Urology Physician in Livonia, Michigan
NPI 1982756433

Urologic Clinic Of Southeastern Michigan Plc is a Urology Physician based in Livonia, MI. Urologic Clinic Of Southeastern Michigan Plc practices in Livonia, MI. The NPI Number for Urologic Clinic Of Southeastern Michigan Plc is 1982756433 and holds a License No. 4301061957 (Michigan).

The current practice location address for Urologic Clinic Of Southeastern Michigan Plc is 14555 Levan Rd, Livonia, MI and can be reached out via phone at 734-462-5858 and via fax at 734-462-5860. You can also correspond with Urologic Clinic Of Southeastern Michigan Plc through the mailing address at 14555 LEVAN RD, LIVONIA, MI - 48154-5083 (mailing address contact number: 734-462-5858).

Location: 14555 Levan Rd, Livonia, MI, 48154-5083
institution
Provider Profile Details
NPI Number
1982756433
Provider Name
Urologic Clinic Of Southeastern Michigan Plc
Credential
Provider Entity Type
Organization
Address
14555 Levan Rd, Livonia, MI, 48154-5083
Phone Number
734-462-5858
Fax Number
734-462-5860
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0827697 01 MI BLUE CARE NETWORK
5211703 01 MI AETNA
126793 01 MI CARE CHOICES
17069 01 MI M CARE
126793 01 MI PREFERRED CHOICES
0827697 01 MI BLUE CROSS
340016693 01 IL GBA RAILROAD MEDICARE
4105806 05 MI
340H249310 01 MI BLUE CROSS BLUE SHIELD MI
institution
Provider Business Practice Location Address Details
Address
14555 Levan Rd
City
State
Zip
48154-5085
Phone Number
734-462-5858
Fax Number
734-462-5860
person
Provider Business Mailing Address Details
Address
14555 Levan Rd
City
State
Zip
48154-5083
Phone Number
734-462-5858
Fax Number
734-462-5860
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
4301061957 (Michigan)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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