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

Milton G Mutchnick, MD

Individual provider Gastroenterology Physician · NPI 1407894579

Milton G Mutchnick, MD is a Gastroenterology in Detroit, Michigan. Graduated from Wayne State University School of Medicine in 1967, 59 years ago. Practices with University Physician Group, a 402-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
59
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4160 John R St Ste 615
Detroit, MI 48201-2022
Phone: (313) 745-4195
Fax: (313) 993-8669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Mack Ave, Detroit, MI 48201-2136 — (313) 448-9650

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 4301028211 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301028211 (MI)

Record details

NPI number1407894579
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1967 (59 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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