Michigan Institute Of Urology Pc
Urology
25 Michigan St Ne Ste 3300, Grand Rapids
Michigan, 49503-2558
616-459-4171 Michigan Institute Of Urology Pc is a Urology in Grand Rapids, Michigan. It is located at 25 Michigan St Ne Ste 3300, Grand Rapids and it's customer support contact number is 616-459-4171. The authorized person of Michigan Institute Of Urology Pc is Tracy Lee Mcauley who is Credentialing Specialist of this DME and his contact number is 586-771-4820. Michigan Institute Of Urology Pc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Michigan Institute Of Urology Pc is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
DME Supplier Details:
Michigan Institute Of Urology Pc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Michigan Institute Of Urology Pc |
| Type: | Urology |
| Location: | 25 Michigan St Ne Ste 3300, Grand Rapids,
Michigan, 49503-2558 |
| Phone: | 616-459-4171 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Tracy Lee Mcauley |
| Position: | Credentialing Specialist |
| Contact Number: | 586-771-4820 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1841061322 |
| NPI Enumeration Date: | 12 Jan, 2024 |
| NPI Last Update On: | 14 Jan, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michigan Institute Of Urology Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Urology | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Michigan Institute Of Urology Pc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1052223492 | O20240626000173 | Michigan Institute Of Urology Pc | DME SUPPLIER - PHYSICIAN - UROLOGY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 20952 E 12 Mile Rd Ste 200,
Saint Clair Shores, Michigan |
| Zip: | 48081-3203 |
| Phone Number: | 586-771-4820 |
Patients can reach Michigan Institute Of Urology Pc at
25 Michigan St Ne Ste 3300, Grand Rapids, Michigan or can
call on customer care at 616-459-4171.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.