Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

University Physician Group

Organization Registered Dietitian · NPI 1265472575

University Physician Group is a Registered Dietitian in Detroit, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4201 Saint Antoine St Ste 4C
Detroit, MI 48201-2153
Phone: (313) 745-4525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1265472575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffery Kohlitz — Chief Financial Officer · (248) 581-5930
Other names Wayne State University Physician Group
NPI enumeratedJune 7, 2006
Last updated in NPPESOctober 26, 2016
Mailing address1560 E. Maple Rd., Suite 400-Credentialing Dept., Troy, MI 48083-1138

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