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UROLOGIC CLINIC OF SOUTHEASTERN MICHIGAN PLC NPI 1982756433


NPI Information

NPI: 1982756433
Provider Name: UROLOGIC CLINIC OF SOUTHEASTERN MICHIGAN PLC

Other Name: JOHN F HARB MD

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 23D0712885

Address:
14555 LEVAN RD
SUITE 309
LIVONIA, MI
ZIP 48154
Phone: (734) 462-5858
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UROLOGIC CLINIC OF SOUTHEASTERN MICHIGAN PLC is an urology in Livonia, 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. UROLOGIC CLINIC OF SOUTHEASTERN MICHIGAN PLC NPI is 1982756433. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is John F Harb Md.

The provider's business location address is:

14555 LEVAN RD
SUITE 309
LIVONIA, MI
ZIP 48154-085
Phone: (734) 462-5858
Fax: (734) 462-5860

The provider's authorized official is John Fredercik Harb .
The authorized official title is Owner and has the following contact phone number (734) 462-5858.

The CLIA number assigned to this NPI record is 23D0712885 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/17/2007 and was last updated on 3/20/2015.


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
1208800000XUrology4301061957MICHIGANYes

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
15211703OTHERMICHIGANAETNA
2G95876MEDICARE UPINMICHIGAN
30M82850MEDICARE ID-TYPE UNSPECIFIED
44105806MEDICAIDMICHIGAN
517069OTHERMICHIGANM CARE
6340016693OTHERILLINOISGBA RAILROAD MEDICARE
7340H249310OTHERMICHIGANBLUE CROSS BLUE SHIELD MI
8126793OTHERMICHIGANCARE CHOICES
9126793OTHERMICHIGANPREFERRED CHOICES
100827697OTHERMICHIGANBLUE CROSS
110827697OTHERMICHIGANBLUE CARE NETWORK

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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