Graduated: 2003
NPI: 1972533628
Practice Locations (2)
MICHIGAN INSTITUTE OF UROLOGY PC
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 480813203
5867714820
MICHIGAN INSTITUTE OF UROLOGY PC
2093 HEALTH DR SW, SUITE 202
WYOMING, MI 495199691
6164594171
Source: CMS National Downloadable File, September 2026.