Provider Demographics
NPI:1114125531
Name:THE UROLOGY CENTER PC
Entity Type:Organization
Organization Name:THE UROLOGY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:KRIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-997-8000
Mailing Address - Street 1:44700 DELCO
Mailing Address - Street 2:
Mailing Address - City:STERLING HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-1025
Mailing Address - Country:US
Mailing Address - Phone:586-997-8000
Mailing Address - Fax:586-254-1748
Practice Address - Street 1:44700 DELCO
Practice Address - Street 2:
Practice Address - City:STERLING HTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1025
Practice Address - Country:US
Practice Address - Phone:586-997-8000
Practice Address - Fax:586-254-1748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0328870001Medicare NSC
MI0E06166Medicare PIN