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PREFERRED UROLOGY CONSULTANTS P.C NPI 1063625382


NPI Information

NPI: 1063625382
Provider Name: PREFERRED UROLOGY CONSULTANTS, P.C
Classification: Urology - 208800000X
Entity Type: Organization
Address:
29201 TELEGRAPH RD
SUITE 460
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 353-3060
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PREFERRED UROLOGY CONSULTANTS, P.C is an urology in Southfield, 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. PREFERRED UROLOGY CONSULTANTS, P.C NPI is 1063625382. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

29201 TELEGRAPH RD
SUITE 460
SOUTHFIELD, MI
ZIP 48034-331
Phone: (248) 353-3060
Fax: (248) 353-0312

The provider's authorized official is Michael David Lutz .
The authorized official title is President and has the following contact phone number (248) 353-3060.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 2/18/2008.


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
1208800000XUrology4301049075MICHIGANNo
2208800000XUrology4301067706MICHIGANNo
3208800000XUrology4301062234MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14301049075OTHERMICHIGANLICENSE MICHAEL D LUTZ MD
23406361451OTHERMICHIGANBCBS FOR JAMES D RELLE
33406361441OTHERMICHIGANBCBS FOR MICHAEL D LUTZ
4P43980001MEDICARE PIN
54301067706OTHERMICHIGANLICENSE BRIAN SEIFMAN MD
6P43980003MEDICARE PIN
74301062234OTHERMICHIGANLICENSE JAMES D RELLE MD
81831171669OTHERMICHIGANNPI BRIAN D SEIFMAN MD
94513238MEDICAIDMICHIGAN
103406361431OTHERMICHIGANBCBS FOR BRIAN SEIFMAN
111326020157OTHERMICHIGANNPI MICHAEL D LUTZ
12H65170MEDICARE UPINMICHIGAN
13B44501MEDICARE UPINMICHIGAN
142995460MEDICAIDMICHIGAN
150P43980MEDICARE PIN
161215919048OTHERMICHIGANNPI JAMES D RELLE MD
17F70791MEDICARE UPINMICHIGAN
182758760MEDICAIDMICHIGAN
19P43980002MEDICARE PIN

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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