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

Michigan Institute of Urology PC

Organization Urology Physician · NPI 1295817799

Michigan Institute of Urology PC is an Urology Physician in Troy, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
5
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

130 Town Center Dr Ste 101
Troy, MI 48084-1773
Phone: (248) 740-0670
Fax: (248) 740-0668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Urology Physician Taxonomy 208800000X
Pediatric Urology Physician Taxonomy 2088P0231X
Non-Pharmacy Dispensing Site Taxonomy 332900000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1295817799
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMichigan Institute of Urology PC
Authorized official Jason Hafron — Chief Medical Officer · (586) 771-4820
NPI enumeratedOctober 20, 2006
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing address20952 12 Mile Road, Suite 200, St. Clair Shores, MI 48081-3203

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