University Physician Group
University Physician Group is a Prosthodontics in Detroit, Michigan. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
4201 Saint Antoine St Ste 5GDetroit, MI 48201-2153
Phone: (313) 745-4095
Fax: (313) 577-8555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthodontics (primary) | Taxonomy 1223P0700X |
|---|
Record details
| NPI number | 1275572075 |
|---|---|
| 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 | June 6, 2006 |
| Last updated in NPPES | October 26, 2016 |
| Mailing address | 1560 E. Maple Rd., Suite 400-Credentialing Dept., Troy, MI 48083-1138 |
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