UNIVERSITY PHYSICIAN GROUP NPI 1740590678

NPI Information

UNIVERSITY PHYSICIAN GROUP is an eyewear supplier in Dearborn, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. UNIVERSITY PHYSICIAN GROUP NPI is 1740590678. The provider is registered as an organization entity type.

The provider's business location address is:

4700 SCHAEFER RD
SUITE 165
DEARBORN, MI
ZIP 48126-698
Phone: (313) 945-7724
Fax: (313) 945-8731

The provider's authorized official is Diane K Stiller .
The authorized official title is Chief Financial Officer and has the following contact phone number (248) 581-5943.

The enumeration date for this NPI number is 10/13/2010 and was last updated on 6/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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