| Wayne State University Physician Group | |
|
4201 Saint Antoine St, Suite 4c, Detroit, MI 48201-2153 | |
| (313) 745-4525 | |
| Not Available |
| Full Name | Wayne State University Physician Group |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 4201 Saint Antoine St, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265472575 | NPI | - | NPPES |
| 0P32130 | Other | MI | MEDICARE GROUP # - RD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne State University Physician Group 1560 E. Maple Rd., Suite 400-credentialing Dept., Troy, MI 48083-1138 Ph: (248) 581-5973 | Wayne State University Physician Group 4201 Saint Antoine St, Suite 4c, Detroit, MI 48201-2153 Ph: (313) 745-4525 |
Allison Brandt, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1333 Brewery Park Blvd Ste 200, Detroit, MI 48207 Phone: 313-446-4444 | |
Miss Marilyn Kay Anderson, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-2514 | |
Winona Bynum, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1420 Washington Blvd, Ste 230, Detroit, MI 48226 Phone: 313-833-0396 | |
Bethany Thayer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Ford Pl, Detroit, MI 48202 Phone: 248-224-1113 | |
Jeffrey Gary Beach, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13901 E Jefferson Ave, Detroit, MI 48215 Phone: 313-822-0900 | |
Allison Jay, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4777 E Outer Dr, Detroit, MI 48234 Phone: 313-369-5853 | |
Blossom With Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18855 Lancashire St, Detroit, MI 48223 Phone: 313-506-9876 |