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JUNCTION CLINIC NPI 1285813154


NPI Information

NPI: 1285813154
Provider Name: JUNCTION CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D0369930

Address:
4771 MICHIGAN AVE
DETROIT, MI
ZIP 48210
Phone: (313) 897-2600
Get Directions

JUNCTION CLINIC is a family medicine in Detroit, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JUNCTION CLINIC NPI is 1285813154. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4771 MICHIGAN AVE
DETROIT, MI
ZIP 48210-247
Phone: (313) 897-2600
Fax: (313) 897-2424

The provider's authorized official is Jerry Uzansky .
The authorized official title is Doctor and has the following contact phone number (313) 897-2600.

The CLIA number assigned to this NPI record is 23D0369930 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 4/20/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineGU005238MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10P01030OTHERMICHIGANMEDICARE GROUP NUMBER
2E25945MEDICARE UPINMICHIGAN
30258220204OTHERMICHIGANBCBS NUMBER
41477523892OTHERMICHIGANNPI INDIVIDUAL NUMBER
5=========OTHERMICHIGANCOMMERICAL ID
61117993MEDICAIDMICHIGAN
75822020MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.