Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Urology PC

Organization Urology Physician · NPI 1770696171

Lakeside Urology PC is an Urology Physician in Saint Joseph, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

815 Saint Joseph Dr
Saint Joseph, MI 49085-2529
Phone: (269) 982-4272
Fax: (269) 983-5920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X (MI)

Record details

NPI number1770696171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Bridges — Physician/Office Manager · (269) 982-4272
NPI enumeratedAugust 17, 2006
Last updated in NPPESDecember 16, 2009
Mailing address815 Saint Joseph Dr, Saint Joseph, MI 49085-2529

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