University Physician Group
University Physician Group is an Eyewear Supplier in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2016.
- Licensed in
- MI
- In the registry since
- 2016
Practice location Address checks out
26400 W 12 Mile Rd Ste 60Southfield, MI 48034-1774
Phone: (248) 594-6702
Fax: (248) 594-6738
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X · Licence 4301054761 (MI) |
|---|
Record details
| NPI number | 1114384757 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffery Kohlitz — Chief Financial Officer · (248) 581-5930 |
| Other names | Wayne State University Physician Group |
| NPI enumerated | January 27, 2016 |
| Last updated in NPPES | December 1, 2016 |
| Mailing address | 1560 E. Maple Rd., Suite 400-Credentialing, Troy, MI 48083-1138 |
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