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Wsu Physician Group
Adult Health Nurse Practitioner in Detroit, Michigan
NPI 1639466055

Wsu Physician Group is an Adult Health Nurse Practitioner based in Detroit, MI and is specialized in Adult Health. Wsu Physician Group practices in Detroit, MI. The NPI Number for Wsu Physician Group is 1639466055 and holds a License No. 4704217349 (Michigan).

The current practice location address for Wsu Physician Group is 4201 St. Antoine - University Health Center, Detroit, MI and can be reached out via phone at 313-745-4008.

Location: 4201 St. Antoine - University Health Center, Detroit, MI, 48201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639466055
Provider Name
Wsu Physician Group
Credential
Provider Entity Type
Organization
Address
4201 St. Antoine - University Health Center, Detroit, MI, 48201
Phone Number
313-745-4008
Fax Number
Provider Enumeration Date
07/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4201 St. Antoine - University Health Center
City
Detroit
State
Michigan
Zip
48201
Phone Number
313-745-4008
Fax Number
person
Provider Business Mailing Address Details
Address
4201 St. Antoine - University Health Center
City
Detroit
State
Michigan
Zip
48201
Phone Number
313-745-4008
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
4704217349 (Michigan)
Definition
Definition to come...
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