| NPI | 1326208745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R DILORETO President And CEO 586-771-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088P0231X |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2015-01-28 |