Michigan Institute Of Urology Pc in Saint Clair Shores - Nurse Practitioner
Michigan Institute Of Urology Pc - NPI 1801018338
Michigan Institute Of Urology Pc is a Nurse Practitioner in Saint Clair Shores, Michigan. Michigan Institute Of Urology Pc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Michigan Institute Of Urology Pc is 1801018338. The last update date is 2008-05-15.
Michigan Institute Of Urology Pc's current location address is 20952 E 12 Mile Rd, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867714820 and fax number 5867717960. The mailing address for Michigan Institute Of Urology Pc is 20952 E 12 Mile Rd, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michigan Institute Of Urology Pc |
|---|---|
| Address | 20952 E 12 Mile Rd, Saint Clair Shores, Michigan |
| Phone Number | 5867714820 |
| Fax Number | 5867717960 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Santino Alphonse |
| Credentials | MD |
| Telephone Number | 5867714820 |
NPI Number Detail
| NPI Number | 1801018338 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 20952 E 12 Mile Rd |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480813200 |
| Phone Number | 5867714820 |
| Fax Number | 5867717960 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB9133 | MI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Michigan Institute Of Urology Pc by the Centers for Medicare & Medicaid Services?
The Michigan Institute Of Urology Pc has been assigned the NPI (National Provider Identifier) 1801018338. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michigan Institute Of Urology Pc is located?
The Michigan Institute Of Urology Pc is situated at the following address: 20952 E 12 Mile Rd, Saint Clair Shores, MI, 480813200.
What is Michigan Institute Of Urology Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michigan Institute Of Urology Pc is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
When did the Michigan Institute Of Urology Pc receive its 1801018338?
The Michigan Institute Of Urology Pc was issued its 1801018338 on 2007-05-03, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Michigan Institute Of Urology Pc most recently updated or revised?
The details related to Michigan Institute Of Urology Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-15.