Four Flags Urology, Inc.

NPI #1144292939 in Niles, Michigan

Provider Information

NPI Number: 1144292939
Entity Type: Organization
Organization Name: Four Flags Urology, Inc.
Primary Specialty: Specialist
Enumeration Date: Feb 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 60 N SAINT JOSEPH AVE
Address 2: SUITE E
City: Niles
State: Michigan
ZIP Code: 49120-2296
Phone: (269) 684-6696

Authorized Official

Name: MS. MARY GEEGAN MIDDLETON
Title: EXECUTIVE DIRECTOR
Phone: (269) 684-0259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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