institution
University Physician Group
Nurse Practitioner in Detroit, Michigan
NPI 1346289147

University Physician Group is a Nurse Practitioner based in Troy, MI. University Physician Group practices in Detroit, MI. The NPI Number for University Physician Group is 1346289147 and holds a License No. (Michigan).

The current practice location address for University Physician Group is 4100 John R St, Detroit, MI and can be reached out via phone at 313-745-4525 and via fax at 313-576-8381. You can also correspond with University Physician Group through the mailing address at 1560 E MAPLE RD, TROY, MI - 48083-1138 (mailing address contact number: 248-581-5973).

Location: 4100 John R St, Detroit, MI, 48083-1138
institution
Provider Profile Details
NPI Number
1346289147
Provider Name
University Physician Group
Credential
Provider Entity Type
Organization
Address
4100 John R St, Detroit, MI, 48083-1138
Phone Number
313-745-4525
Fax Number
313-576-8381
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0P32180 01 MI MEDICARE GROUP # - NP
23D1096986 01 MI CLIA MICROSCOPY
23D2054540 01 MI CLIA REGISTRATION (HIGH COMPLEXITY)
0H22830 01 MI BCBSM GROUP NUMBER
23D0650703 01 MI CLIA COMPLIANCE DERM
23D0685178 01 MI CLIA COMPLIANCE DERM
23D0701622 01 MI CLIA - PPM (MODERATE COMPLEXITY)
institution
Provider Business Practice Location Address Details
Address
4100 John R St
City
State
Zip
48201-2013
Phone Number
313-745-4525
Fax Number
313-576-8381
person
Provider Business Mailing Address Details
Address
4100 John R St
City
State
Zip
48201-2013
Phone Number
313-745-4525
Fax Number
313-576-8381
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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