University Physician Group

NPI #1215379938 in Lake Orion, Michigan

Provider Information

NPI Number: 1215379938
Entity Type: Organization
Organization Name: University Physician Group
Primary Specialty: Eyewear Supplier
Enumeration Date: Jul 23, 2013
Last Updated: Jun 1, 2016

Practice Location

Address: 1455 S LAPEER RD
Address 2: SUITE 110
City: Lake Orion
State: Michigan
ZIP Code: 48360-1468
Phone: (248) 814-7139

Authorized Official

Name: DIANE K STILLER
Title: CHIEF FINANCIAL OFFICER
Phone: (248) 581-5943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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