Pediatric Urology of Mi
Pediatric Urology of Mi is a Pediatric Urology Physician in Troy, Michigan. Licensed in Michigan. Registered with an NPI since 2008.
- Licensed in
- MI
- In the registry since
- 2008
Practice location Address checks out
2221 Livernois Rd Ste 103Troy, MI 48083-1603
Phone: (248) 519-0305
Fax: (248) 519-0315
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Urology Physician (primary) | Taxonomy 2088P0231X · Licence 031012 (MI) |
|---|
Record details
| NPI number | 1356519920 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kim Workman — Office Manager · (248) 519-0305 |
| NPI enumerated | February 15, 2008 |
| Last updated in NPPES | February 15, 2008 |
| Mailing address | 2221 Livernois Rd Ste 103, Troy, MI 48083-1603 |