Organization · Type 2 NPI

Great Lakes Urogynecology PLC

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Brownstown Township, MI

NPI number 1144111840 Active

Practice location

19249 Allen Rd Ste B
Brownstown Township, MI 48183-1189

Specialties and licenses

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

About NPI 1144111840

Great Lakes Urogynecology PLC's National Provider Identifier is 1144111840, issued on Jul 10, 2025. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Brownstown Township, MI. The record was last updated on Aug 5, 2025.