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

Michigan Institute of Urology, PC

Organization Diagnostic Radiology Physician · NPI 1053268508

Michigan Institute of Urology, PC is a Diagnostic Radiology Physician in Southfield, Michigan. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
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

29275 Northwestern Hwy Ste 120
Southfield, MI 48034-1044
Phone: (586) 771-4820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 43650 Garfield Rd Ste 102, Clinton Township, MI 48038-7419 — (586) 771-4820

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Urology Physician Taxonomy 208800000X

Record details

NPI number1053268508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy McAuley — Credentialing Supervisor · (586) 771-4820
NPI enumeratedMarch 13, 2026
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203

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