NPI 1275623068

Michigan Institute of Urology PC

Organisation Durable Medical Equipment & Medical Supplies Clarkston, MI

Practice location

Address: 5701 Bow Pointe Dr Suite 250, Clarkston, MI 48346-3163
Phone: (248) 620-6660
Fax: (248) 620-6662
Mailing address: 20952 E 12 Mile Rd Suite 200, Saint Clair Shores, MI 48081-3200

Authorised official

Name: Alphonse M. Santino
Title: President
Phone: (586) 771-4820

Registered specialties (4)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Michigan →

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: 1275623068
Entity type: Organization
NPI issued: 13 Oct 2006
Record last updated: 14 Jan 2025

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.