Graduated: 2015
NPI: 1760851463
Practice Locations (2)
MICHIGAN INSTITUTE OF UROLOGY PC
19991 HALL RD, SUITE 201
MACOMB, MI 480444254
5862280150
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.