NPI | 1992044598 |
---|---|
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 | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI 4301028224) |
Enumeration Date | 2013-02-04 |
Last Update Date | 2016-12-01 |