Provider Type Icon

MICHIGAN UROLOGICAL INSTITUTE NPI 1558411512


NPI Information

NPI: 1558411512
Provider Name: MICHIGAN UROLOGICAL INSTITUTE
Classification: Urology - 208800000X
Entity Type: Organization
Address:
22250 PROVIDENCE DR
SUITE 203
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 569-0155
Get Directions

MICHIGAN UROLOGICAL INSTITUTE 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. MICHIGAN UROLOGICAL INSTITUTE NPI is 1558411512. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

22250 PROVIDENCE DR
SUITE 203
SOUTHFIELD, MI
ZIP 48075-825
Phone: (248) 569-0155
Fax: (248) 569-5226

The provider's authorized official is Hilda Giambino .
The authorized official title is Office Manager and has the following contact phone number (248) 569-0155.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 1/20/2010.


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
1208800000XUrologyJS041027MICHIGANNo
2208800000XUrologyPH063189MICHIGANNo
3208800000XUrologyJO085172MICHIGANNo
4208800000XUrologyRW045789MICHIGANYes

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
10N91180MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.