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University Physician Group
Eyewear Supplier in Southfield, Michigan
NPI 1114384757

University Physician Group is a Eyewear Supplier based in Troy, MI. University Physician Group practices in Southfield, MI. The NPI Number for University Physician Group is 1114384757 and holds a License No. 4301054761 (Michigan).

The current practice location address for University Physician Group is 26400 W 12 Mile Rd, Southfield, MI and can be reached out via phone at 248-594-6702 and via fax at 248-594-6738.

Location: 26400 W 12 Mile Rd, Southfield, MI, 48083-1138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114384757
Provider Name
University Physician Group
Credential
Provider Entity Type
Organization
Address
26400 W 12 Mile Rd, Southfield, MI, 48083-1138
Phone Number
248-594-6702
Fax Number
248-594-6738
Provider Enumeration Date
01/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5717980008 01 MI NGS
institution
Provider Business Practice Location Address Details
Address
26400 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48034-1774
Phone Number
248-594-6702
Fax Number
248-594-6738
person
Provider Business Mailing Address Details
Address
26400 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48034-1774
Phone Number
248-594-6702
Fax Number
248-594-6738
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
4301054761 (Michigan)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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