| Wayne State University Physician Group | |
|
3901 Chrysler Service Dr Tolan Park Detroit MI 48201-2167 | |
| (888) 362-7792 | |
| (313) 993-3421 |
| Full Name | Wayne State University Physician Group |
|---|---|
| Speciality | Counselor |
| Location | 3901 Chrysler Service Dr, Detroit, Michigan |
| Authorized Official Name and Position | Jeffery P Kohlitz (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2485815930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 3901 Chrysler Service Dr Tolan Park Detroit MI 48201-2167 Ph: (888) 362-7792 |
| NPI Number | 1326087685 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326087685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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