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DYNAMIC UROCARE PC NPI 1114257540


NPI Information

NPI: 1114257540
Provider Name: DYNAMIC UROCARE PC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
18100 OAKWOOD BLVD
STE 315
DEARBORN, MI
ZIP 48124
Phone: (313) 593-8057
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DYNAMIC UROCARE PC is an urology in Dearborn, MI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DYNAMIC UROCARE PC NPI is 1114257540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18100 OAKWOOD BLVD
STE 315
DEARBORN, MI
ZIP 48124-085
Phone: (313) 593-8057

The provider's authorized official is David Burks .
The authorized official title is Owner and has the following contact phone number (734) 662-1973.

The enumeration date for this NPI number is 1/7/2010 and was last updated on 1/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology4301405433MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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