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University Physician Group
Eyewear Supplier in Detroit, Michigan
NPI 1255370052

University Physician Group is a Eyewear Supplier based in Troy, MI. University Physician Group practices in Detroit, MI. The NPI Number for University Physician Group is 1255370052 and holds a License No. 4301054761 (Michigan).

The current practice location address for University Physician Group is 4717 Saint Antoine St, Detroit, MI and can be reached out via phone at 313-577-8900 and via fax at 313-577-0700.

Location: 4717 Saint Antoine St, Detroit, MI, 48083-1138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255370052
Provider Name
University Physician Group
Credential
Provider Entity Type
Organization
Address
4717 Saint Antoine St, Detroit, MI, 48083-1138
Phone Number
313-577-8900
Fax Number
313-577-0700
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5717980001 01 MI NGS
0H22996 01 MI BCBSM GROUP #
institution
Provider Business Practice Location Address Details
Address
4717 Saint Antoine St
City
Detroit
State
Michigan
Zip
48201-1423
Phone Number
313-577-8900
Fax Number
313-577-0700
person
Provider Business Mailing Address Details
Address
4717 Saint Antoine St
City
Detroit
State
Michigan
Zip
48201-1423
Phone Number
313-577-8900
Fax Number
313-577-0700
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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