is a Urology in Grosse Pointe Farms, Michigan. practices all healthcare services and medical treatments related to Urology. The NPI Number for is 1912958547. The last update date is .
's current location address is 170 Lothrop Rd, Grosse Pointe Farms, Michigan. You can contact this provider via phone number 2485694897 and fax number 2485695226. The mailing address for is 170 Lothrop Rd, Grosse Pointe Farms, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 170 Lothrop Rd, Grosse Pointe Farms, Michigan |
| Phone Number | 2485694897 |
| Fax Number | 2485695226 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1912958547 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 170 Lothrop Rd |
|---|---|
| City | Grosse Pointe Farms |
| State | Michigan (MI) |
| Post Code | 482363528 |
| Phone Number | 2485694897 |
| Fax Number | 2485695226 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 4301045789 |
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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 acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1818415 | MI | -- |
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