1255370052 UNIVERSITY PHYSICIAN GROUP

Eyewear Supplier

Active

Basic Information

Organization Name
UNIVERSITY PHYSICIAN GROUP
Enumeration Date
June 6, 2006
Last Update
December 1, 2016
Authorized Official
MR. JEFFERY P KOHLITZ
CHIEF FINANCIAL OFFICER
Phone: (248) 581-5930

Practice Location

Address
4717 SAINT ANTOINE ST
KRESGE EYE INSTITUTE
DETROIT, MI 482011423
Phone
(313) 577-8900
Fax
(313) 577-0700

Mailing Address

Address
1560 E MAPLE RD
SUITE 400-CREDENTIALING DEPT
TROY, MI 480831138
Phone
(248) 581-5973
Fax
(248) 581-5640

Specialties & Taxonomies

Specialty Code Classification License State Primary
Eyewear Supplier
332H00000X Eyewear Supplier 4301054761 MI Primary

Other Identifiers

Identifier Type State Issuer
5717980001 01 MI NGS
0H22996 01 MI BCBSM GROUP #

Frequently Asked Questions

What is UNIVERSITY PHYSICIAN GROUP's NPI number?
UNIVERSITY PHYSICIAN GROUP's NPI number is 1255370052.
Which doctor has NPI number 1255370052?
The doctor with NPI number 1255370052 is UNIVERSITY PHYSICIAN GROUP.
What is UNIVERSITY PHYSICIAN GROUP's practice address?
UNIVERSITY PHYSICIAN GROUP's practice address is 4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE, DETROIT, MI, 482011423.
Which doctor practices at 4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE, DETROIT, MI, 482011423?
UNIVERSITY PHYSICIAN GROUP practices at 4717 SAINT ANTOINE ST, KRESGE EYE INSTITUTE, DETROIT, MI, 482011423.
What is UNIVERSITY PHYSICIAN GROUP's mailing address?
UNIVERSITY PHYSICIAN GROUP's mailing address is 1560 E MAPLE RD, SUITE 400-CREDENTIALING DEPT, TROY, MI, 480831138.
What is UNIVERSITY PHYSICIAN GROUP's phone number?
UNIVERSITY PHYSICIAN GROUP's phone number is (313) 577-8900.
Who is (313) 577-8900?
(313) 577-8900 is the phone number for UNIVERSITY PHYSICIAN GROUP.
What is UNIVERSITY PHYSICIAN GROUP's specialty?
UNIVERSITY PHYSICIAN GROUP's specialty is Eyewear Supplier.
What type of doctor is UNIVERSITY PHYSICIAN GROUP?
UNIVERSITY PHYSICIAN GROUP is a Eyewear Supplier.
Is UNIVERSITY PHYSICIAN GROUP a Eyewear Supplier?
Yes, UNIVERSITY PHYSICIAN GROUP is a Eyewear Supplier.
Is UNIVERSITY PHYSICIAN GROUP still practicing?
Yes, UNIVERSITY PHYSICIAN GROUP is currently practicing.
Is UNIVERSITY PHYSICIAN GROUP accepting new patients?
UNIVERSITY PHYSICIAN GROUP may be accepting new patients. Please call their office at (313) 577-8900 to inquire about availability.
Is NPI 1255370052 still active?
Yes, NPI 1255370052 is currently active.
Where does UNIVERSITY PHYSICIAN GROUP practice?
UNIVERSITY PHYSICIAN GROUP practices in DETROIT, MI.