Advanced Urogynecology of Michigan, P.c.

NPI #1518936590 in Dearborn, Michigan

Provider Information

NPI Number: 1518936590
Entity Type: Organization
Organization Name: Advanced Urogynecology of Michigan, P.c.
Primary Specialty: Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery
Enumeration Date: Mar 14, 2006
Last Updated: Jul 23, 2024

Practice Location

Address: 22731 NEWMAN ST STE 200
City: Dearborn
State: Michigan
ZIP Code: 48124-2023
Phone: (313) 982-0200

Authorized Official

Name: DOLLANDRA CARBIN
Title: BILLING AND CREDENTIALING
Phone: (313) 982-0228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery — Urogynecology and Reconstructive Pelvic Surgery	207VF0040X	Primary

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