Michigan Urological Clinic

LBN: Michigan Urological Clinic
Michigan Urological Clinic is an health care organization with primary practice located at 4047 Saladin Dr Se , Grand Rapids MI 49546-6249. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Michigan Urological Clinic can be contacted via phone (616) 956-9577, or through Maatman, Jill via phone (616) 956-9577.

Contact Information

Primary practice address
4047 Saladin Dr Se Grand Rapids MI 49546-6249
Phone: (616) 956-9577
Fax: (616) 956-3090
Website:
Map and Directions
Authorized official contact:
Name: Maatman, Jill
Phone: (616) 956-9577

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 696 Michigan

Profile Details

NPI number 1376586164
LBN Legal business name Michigan Urological Clinic
DBA Doing business as
Authorized official Maatman, Jill
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Jun 9th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376586164 NPPES
Michigan Other 1376586164 NPI

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