Michigan Institute of Urology, PC

NPI #1598904237 in Macomb, Michigan

Provider Information

NPI Number: 1598904237
Entity Type: Organization
Organization Name: Michigan Institute of Urology, PC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Feb 19, 2009
Last Updated: Mar 11, 2011

Practice Location

Address: 17405 HALL RD
Address 2: STE B
City: Macomb
State: Michigan
ZIP Code: 48044-4061
Phone: (586) 228-0150

Authorized Official

Name: DR. ALPHONSE M SANTINO, MD
Title: PRESIDENT
Phone: (586) 771-4820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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