NPI 1194807693

Michigan Institute of Urology PC

Organisation Durable Medical Equipment & Medical Supplies West Bloomfield, MI

Practice location

Address: 6900 Orchard Lake Road Suite 101, West Bloomfield, MI 48322-3424
Phone: (248) 539-9036
Fax: (248) 539-9267
Mailing address: 20952 12 Mile Road Suite 200, St. Clair Shores, MI 48081-3203

Authorised official

Name: Robert R Diloreto
Title: President and Ceo
Phone: (586) 771-4820

Registered specialties (4)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

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Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X

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Pediatric Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 2088P0231X

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1194807693
Entity type: Organization
NPI issued: 20 Oct 2006
Record last updated: 28 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.