NPI | 1396571436 |
---|---|
Doing Business As | UROLOGICAL SERVICES PC |
Entity Type | Organization |
Authorized Contact | TRACY LEE MCAULEY Credentialing Specialist 586-771-4820 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Additional Taxonomies | 208800000X Urology |
Enumeration Date | 2024-09-13 |
Last Update Date | 2024-09-13 |