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UNIVERSITY PHYSICIAN GROUP

Organization (NPI-2) Active

Physician Assistant

Provider Information

NPI Number
1316987589
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
4100 JOHN R ST, DETROIT, MI, 482012013
Phone
(313) 745-4525

Specialties & Taxonomies

Physician Assistant Primary

All Addresses

MAILING

1560 E. MAPLE RD. SUITE 400-CREDENTIALING DEPT.

TROY, MI, 480831138

(248) 581-5973

LOCATION

4100 JOHN R ST

DETROIT, MI, 482012013

(313) 745-4525