Organization · Type 2 NPI
Michigan Institute of Urology PC
Diagnostic Radiology Physician · Southfield, MI
NPI number
1053268508
Active
Practice location
29275 Northwestern Hwy Ste 120
Southfield, MI 48034-1044
Mailing address
20952 E 12 Mile Rd Ste 200
St. Clair Shores, MI 48081-3203
Other practice locations
- 43650 Garfield Rd Ste 102, Clinton Township, MI 48038-7419 · (586) 771-4820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
| Urology Physician | 208800000X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1053268508
Michigan Institute of Urology PC's National Provider Identifier is 1053268508, issued on Mar 13, 2026. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Southfield, MI. The record was last updated on Sep 2, 2026.