| John R Harding, MD | |
|
11051 Hall Rd, Suite 200, Utica, MI 48317-5735 | |
| (586) 254-5759 | |
| (586) 254-5793 |
| Full Name | John R Harding |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 11051 Hall Rd, Utica, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043275019 | NPI | - | NPPES |
| G09867 | Other | MI | HAP |
| 340010641 | Other | MI | RAILROAD MEDICARE |
| 120719 | Other | MI | PRIORITY HEALTH |
| 9447264001 | Other | MI | CIGNA |
| 0985061 | Other | MI | HEALTH PLUS |
| 5287084 | Other | MI | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4301052640 (Michigan) | Primary |
| Entity Name | Michigan Institute of Urology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
| Mailing Address | Practice Location Address |
|---|---|
| John R Harding, MD 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 Ph: (586) 771-4820 | John R Harding, MD 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 Ph: (586) 254-5759 |
Earl R Koenig, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 11051 Hall Rd, Suite 200, Utica, MI 48317 Phone: 586-254-5759 Fax: 586-254-5793 |
Michael T Chien, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 11051 Hall Rd Ste 200, Utica, MI 48317 Phone: 586-254-5759 Fax: 586-254-5793 |