UNIVERSITY PHYSICIAN GROUP

DETROIT, MI
NPI1346289147
Doing Business AsWAYNE STATE UNIVERSITY PHYSICIAN GROUP
Entity TypeOrganization
Authorized ContactJEFFERY P KOHLITZ
Chief Financial Officer
248-581-5930
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2006-06-06
Last Update Date2016-10-26
Business Address
UNIVERSITY PHYSICIAN GROUP
4100 JOHN R ST
DETROIT, MI 48201-2013
Phone number: 313-745-4525
Mailing Address
UNIVERSITY PHYSICIAN GROUP
1560 E MAPLE RD SUITE 400-CREDENTIALING DEPT
TROY, MI 48083-1138
Phone number: 248-581-5973