Lake Country Urology Clinic, Pllc in Sturgis - Urology
Lake Country Urology Clinic, Pllc - NPI 1528190303
Lake Country Urology Clinic, Pllc is a Urology in Sturgis, Michigan. Lake Country Urology Clinic, Pllc practices all healthcare services and medical treatments related to Urology. The NPI Number for Lake Country Urology Clinic, Pllc is 1528190303. The last update date is 2007-10-17.
Lake Country Urology Clinic, Pllc's current location address is 17 Vinewood Ave, Sturgis, Michigan. You can contact this provider via phone number 2696514708. The mailing address for Lake Country Urology Clinic, Pllc is 17 Vinewood Ave, Sturgis, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Lake Country Urology Clinic, Pllc |
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Address | 17 Vinewood Ave, Sturgis, Michigan |
Phone Number | 2696514708 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT, |
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Authorized Official Name | Orca L Mariano |
Credentials | M.D. |
Telephone Number | 2696514708 |
NPI Number Detail
NPI Number | 1528190303 |
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Provider Enumeration Date | 2007-03-09 |
Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
Address | 17 Vinewood Ave |
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City | Sturgis |
State | Michigan (MI) |
Post Code | 490912375 |
Phone Number | 2696514708 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Urology |
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Taxonomy | 208800000X |
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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What is the unique 10-digit identifier code assigned to Lake Country Urology Clinic, Pllc by the Centers for Medicare & Medicaid Services?
The Lake Country Urology Clinic, Pllc has been issued the NPI (National Provider Identifier) 1528190303 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lake Country Urology Clinic, Pllc's facilities are situated?
The facilities of Lake Country Urology Clinic, Pllc are physically located at the following address: 17 Vinewood Ave, Sturgis, MI, 490912375.
What is Lake Country Urology Clinic, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lake Country Urology Clinic, Pllc is Urology, and the taxonomy code that categorizes this field of expertise is 208800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528190303 to Lake Country Urology Clinic, Pllc?
The Lake Country Urology Clinic, Pllc received its 1528190303 assignment from the Centers for Medicare & Medicaid Services on 2007-03-09.
As of what date were the details related to Lake Country Urology Clinic, Pllc most recently updated or revised?
The information pertaining to Lake Country Urology Clinic, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-17.
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