| University Physician Group | |
|
3901 Chrysler Dr Tolan Park Detroit MI 48201-2167 | |
| (888) 362-7792 | |
| (313) 993-1372 |
| Full Name | University Physician Group |
|---|---|
| Speciality | Psychologist |
| Location | 3901 Chrysler Dr, Detroit, Michigan |
| Authorized Official Name and Position | Jeffery P Kohlitz (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2485815930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Physician Group 1560 E. Maple Rd. Suite 400-credentialing Dept. Troy MI 48083-1138 Ph: (248) 581-5973 | University Physician Group 3901 Chrysler Dr Tolan Park Detroit MI 48201-2167 Ph: (888) 362-7792 |
| NPI Number | 1366481160 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366481160 | NPI | - | NPPES |
| 0H22874 | Other | MI | BCBSM GROUP NUMBER |
| 0P32060 | Other | MI | MEDICARE GROUP # - PSYCHOLOGIST/NEUROPSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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