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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Urology |
208800000X | 34 | Physician/Urology | |
Clinical Pathology/Laboratory Medicine |
207ZP0105X | 22 | Physician/Pathology | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology |
| NPI Number | 1659310092 |
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| LBN Legal business name | GREAT LAKES PHYSICIAN, PC | ||||
| Authorized official | KAIRAV CHEVLI - (MANAGING PHYSICIAN) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/04/2006 | ||||
| Last updated | 06/07/2022 - About 4 years ago | ||||
| Identifiers |
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GREAT LAKES PHYSICIAN, PC
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GREAT LAKES PHYSICIAN, PC