University Physician Group in Detroit - Neurological Surgery
University Physician Group - NPI 1447299797
University Physician Group is a Neurological Surgery in Detroit, Michigan. University Physician Group practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for University Physician Group is 1447299797. The last update date is 2022-10-17.
University Physician Group's current location address is 4201 St. Antoine St., Detroit, Michigan. You can contact this provider via phone number 3137454525. The mailing address for University Physician Group is 4201 St. Antoine St., Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Physician Group |
|---|---|
| Address | 4201 St. Antoine St., Detroit, Michigan |
| Phone Number | 3137454525 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Juzych Mark |
| Credentials | MD |
| Telephone Number | 3134489006 |
NPI Number Detail
| NPI Number | 1447299797 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2022-10-17 |
Provider Mailing Address Detail
| Address | 4201 St. Antoine St. |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 48201 |
| Phone Number | 3137454525 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
|
Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23D0685178 | MI | CLIA COMPLIANCE DERM | |
| 23D0913773 | MI | CLIA - MICROSCOPY OBGYN | |
| 23D1080033 | MI | CLIA - MICROSCOPY FAM MED | |
| 23D1086626 | MI | CLIA - WAIVER OTO | |
| 23D1091632 | MI | CLIA WAIVER | |
| 23D1096986 | MI | CLIA MICROSCOPY | |
| 23D0701622 | MI | CLIA - PPM (MODERATE COMPLEXIT | |
| 23D1040688 | MI | CLIA - MICROSCOPY UROLOGY | |
| 23D2054540 | MI | CLIA REGISTRATION (HIGH COMPLE | |
| 0P30630 | MI | MEDICARE GROUP # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to University Physician Group by the Centers for Medicare & Medicaid Services?
The University Physician Group has been issued the NPI (National Provider Identifier) 1447299797 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where University Physician Group's facilities are situated?
The facilities of University Physician Group are physically located at the following address: 4201 St. Antoine St., Detroit, MI, 48201.
What is University Physician Group's area of expertise and its corresponding taxonomy classification?
The University Physician Group's field of specialization is Neurological Surgery, and it falls under the taxonomy code 207T00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1447299797 assigned to University Physician Group?
The University Physician Group was issued its 1447299797 on 2006-06-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding University Physician Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to University Physician Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-10-17.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH