MICHIGAN INSTITUTE OF UROLOGY, PC – Diagnostic Radiology Physician, NPI 1053268508

MICHIGAN INSTITUTE OF UROLOGY, PC is a healthcare provider. based in Saint clair shores, Michigan. specializing in Diagnostic Radiology Physician. The NPI Number for MICHIGAN INSTITUTE OF UROLOGY, PC is 1053268508

Main info

Organization
Name
MICHIGAN INSTITUTE OF UROLOGY, PC
NPI
1053268508
Phone
(586) 771-4820
Address
20952 E 12 MILE RD STE 200
Authorized Official
TRACY LEE MCAULEY CREDENTIALING SUPERVISOR
Enumeration Date
13 March 2026
Last Update Date
13 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience20
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for MICHIGAN INSTITUTE OF UROLOGY, PC

  • 20952 E 12 MILE RD STE 200

    SAINT CLAIR SHORES, MI 480813203

    Phone: (586) 771-4820

    Fax: (586) 771-7960

    Type: Mailing

  • 29275 NORTHWESTERN HWY STE 120

    SOUTHFIELD, MI 480341044

    Phone: (586) 771-4820

    Type: Location

  • 43650 Garfield Rd Ste 102

    Clinton Township, MI 480387419

    Phone: (586) 771-4820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48081)

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Reviews

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Frequently asked questions

What federal number belongs to MICHIGAN INSTITUTE OF UROLOGY, PC?
The federal identifier for MICHIGAN INSTITUTE OF UROLOGY, PC is NPI 1053268508.
Does this profile mean MICHIGAN INSTITUTE OF UROLOGY, PC is currently active?
Yes — MICHIGAN INSTITUTE OF UROLOGY, PC appears active in the national provider directory.
Does MICHIGAN INSTITUTE OF UROLOGY, PC list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for MICHIGAN INSTITUTE OF UROLOGY, PC. Clinical services aligned with this taxonomy classification.
What location shows for MICHIGAN INSTITUTE OF UROLOGY, PC?
We surface Saint Clair Shores, Michigan for MICHIGAN INSTITUTE OF UROLOGY, PC based on available NPPES addresses.
What if Saint Clair Shores, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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