University Internal Medicine Specialists

NPI #1215158514 in Detroit, Michigan

Provider Information

NPI Number: 1215158514
Entity Type: Organization
Organization Name: University Internal Medicine Specialists
Primary Specialty: Physician Assistant
Enumeration Date: May 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4100 JOHN R ST
City: Detroit
State: Michigan
ZIP Code: 48201-2013
Phone: (313) 745-4525

Authorized Official

Name: JILL G. MOORE
Title: CAO
Phone: (313) 745-8212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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