| NPI | 1336492354 |
|---|---|
| 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 | 225100000X Physical Therapist (Licence: MI 4301083153) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2016-10-26 |