NPI | 1316987589 |
---|---|
Doing Business As | WAYNE STATE UNIVERSITY PHYSICIAN GROUP |
Entity Type | Organization |
Authorized Contact | JEFFERY P KOHLITZ Chief Financial Officer 248-581-5930 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Enumeration Date | 2006-06-07 |
Last Update Date | 2016-10-26 |