Graduated: 2000
NPI: 1679538318
Practice Locations (2)
MICHIGAN INSTITUTE OF UROLOGY PC
5701 BOW POINTE DR, SUITE 250
CLARKSTON, MI 483465405
2486206660
MICHIGAN INSTITUTE OF UROLOGY PC
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 480813203
5867714820
Source: CMS National Downloadable File, September 2026.