MEDICARE: DR. ARIS QUEROL URBANES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	4301057086	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4301057086	OTHER	MI	CONTROLLED SUBSTANCE
2	03723038	OTHER		ECFMG

General Provider Information

NPI Number	:	1023016474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIS QUEROL URBANES MD

Provider Business Mailing Address
First Line	:	1036 BISHOP RD
Second Line	:
City	:	GROSSE POINTE PARK
State	:	MI
Zip	:	48230-1448
Country	:	US
Telephone Number	:	313-882-0554
Fax Number	:	313-640-1774

Provider Business Practice Location Address
First Line	:	4160 JOHN R ST STE 917
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2017
Country	:	US
Telephone Number	:	313-745-4525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	03/07/2023

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Directions to “ DR. ARIS QUEROL URBANES MD” Practice Location

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