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

University Physician Group

Organization Clinical Neuropsychologist · NPI 1457390254

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

In the registry since
2006

Practice location Address checks out

4201 Saint Antoine St Ste 8D
Detroit, MI 48201
Phone: (313) 745-4275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X

Record details

NPI number1457390254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Lee — Chief Administrative Officer · (313) 577-8112
NPI enumeratedJune 6, 2006
Last updated in NPPESDecember 12, 2007
Mailing address3800 Woodward Ave, Suite 600, Detroit, MI 48201-2061

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