EDISON LAKES UROLOGY PLYMOUTH OFFICE is an urology in Plymouth, IN. The provider 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. EDISON LAKES UROLOGY PLYMOUTH OFFICE NPI is 1033388558. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
1919 LAKE AVE
SUITE 109
PLYMOUTH, IN
ZIP 46563-830
Phone: (574) 935-2138
Fax: (574) 935-2136
The provider's authorized official is Darryl R Busby .
The authorized official title is Executive Administrator and has the following contact phone number (574) 296-3200.
The enumeration date for this NPI number is 2/28/2008 and was last updated on 5/30/2008.