University Physician Group

NPI #1336492354 in Novi, Michigan

Provider Information

NPI Number: 1336492354
Entity Type: Organization
Organization Name: University Physician Group
Primary Specialty: Physical Therapist
Enumeration Date: Oct 16, 2012
Last Updated: Oct 26, 2016

Practice Location

Address: 44000 W 12 MILE RD STE 205
Address 2: WSUPG PM&R OAKWOOD
City: Novi
State: Michigan
ZIP Code: 48377-2647
Phone: (248) 465-0100

Authorized Official

Name: MR. JEFFERY P KOHLITZ
Title: CHIEF FINANCIAL OFFICER
Phone: (248) 581-5930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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