MICHIANA UROLOGY PC NPI 1851592935

NPI Information

  • NPI: 1851592935
  • Provider Name: MICHIANA UROLOGY PC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 804 E FRONT ST
    BUCHANAN, MI
    ZIP 49107
  • Phone: (269) 695-3897

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NPI Details

MICHIANA UROLOGY PC is an urology in Buchanan, 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. MICHIANA UROLOGY PC NPI is 1851592935. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

804 E FRONT ST
BUCHANAN, MI
ZIP 49107-444
Phone: (269) 695-3897
Fax: (269) 695-0460

The provider's authorized official is Kent A Kirby .
The authorized official title is Owner Physician and has the following contact phone number (269) 695-3897.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology4301077717MICHIGANYes

What is NPI?

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This page was last updated on: 11/21/2025

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