UNIVERSITY PHYSICIAN GROUP NPI 1992044598

NPI Information

  • NPI: 1992044598
  • Provider Name: UNIVERSITY PHYSICIAN GROUP
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Doing Business As: WAYNE STATE UNIVERSITY PHYSICIAN GROUP
  • Address: 18100 OAKWOOD BLVD
    SUITE 300
    DEARBORN, MI
    ZIP 48124
  • Phone: (313) 429-7977

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NPI Details

UNIVERSITY PHYSICIAN GROUP is a prosthetic orthotic supplier in Dearborn, MI. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. UNIVERSITY PHYSICIAN GROUP NPI is 1992044598. The provider is registered as an organization entity type.
The provider Is Doing Business As Wayne State University Physician Group.

The provider's business location address is:

18100 OAKWOOD BLVD
SUITE 300
DEARBORN, MI
ZIP 48124-085
Phone: (313) 429-7977
Fax: (313) 429-7981

The provider's authorized official is Jeffery P Kohlitz .
The authorized official title is Chief Financial Officer and has the following contact phone number (248) 581-5930.

The enumeration date for this NPI number is 2/4/2013 and was last updated on 12/1/2016.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic Supplier4301028224MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15717980007OTHERMICHIGANNGS
25717980007MEDICARE NSCMICHIGAN

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: 11/21/2025

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