University Physician Group

NPI #1528007325 in Detroit, Michigan

Provider Information

NPI Number: 1528007325
Entity Type: Organization
Organization Name: University Physician Group
Primary Specialty: Registered Nurse
Enumeration Date: Jun 6, 2006
Last Updated: Oct 26, 2016

Practice Location

Address: 3901 CHRYSLER SERVICE DR
Address 2: TOLAN PARK
City: Detroit
State: Michigan
ZIP Code: 48201-2167
Phone: (888) 362-7792

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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