Pediatric Urology Of Mi in Troy - Pediatric Urology

Pediatric Urology Of Mi - NPI 1356519920

Pediatric Urology Of Mi is a Pediatric Urology in Troy, Michigan. Pediatric Urology Of Mi practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Pediatric Urology Of Mi is 1356519920. The last update date is 2008-02-15.

Pediatric Urology Of Mi's current location address is 2221 Livernois Rd Ste 103, Troy, Michigan. You can contact this provider via phone number 2485190305 and fax number 2485190315. The mailing address for Pediatric Urology Of Mi is 2221 Livernois Rd Ste 103, Troy, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Urology Of Mi
Address 2221 Livernois Rd Ste 103, Troy, Michigan
Phone Number 2485190305
Fax Number 2485190315
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Workman Kim
Telephone Number 2485190305

NPI Number Detail

NPI Number 1356519920
Provider Enumeration Date 2008-02-15
Last Updated Date 2008-02-15

Provider Mailing Address Detail

Address 2221 Livernois Rd Ste 103
City Troy
State Michigan (MI)
Post Code 480831603
Phone Number 2485190305
Fax Number 2485190315

Provider's Primary Taxonomy Detail

Speciality Pediatric Urology
Taxonomy 2088P0231X
Licence No 31012
Definition:
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0F31834 MI BCBS

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FAQs about Pediatric Urology Of Mi

What is the unique identification code assigned to Pediatric Urology Of Mi by the Centers for Medicare & Medicaid Services?

The Pediatric Urology Of Mi has been issued the NPI (National Provider Identifier) 1356519920. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Pediatric Urology Of Mi is physically located?

The Pediatric Urology Of Mi is physically situated at the following address: 2221 Livernois Rd Ste 103, Troy, MI, 480831603.

What is the area of specialization for Pediatric Urology Of Mi, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Pediatric Urology Of Mi is Pediatric Urology, and the corresponding taxonomy code that categorizes this area of expertise is 2088P0231X.

On what date was the 1356519920 assigned to Pediatric Urology Of Mi?

The Pediatric Urology Of Mi was issued its 1356519920 on 2008-02-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Pediatric Urology Of Mi most recently updated or revised?

The information pertaining to Pediatric Urology Of Mi, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-15.

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