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Organization
UNIVERSITY FAMILY PHYSICIANS
Active
Organization
UNIVERSITY FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JEAN SCHENK (CHAIRPERSON)
(313) 577-1421
Entity
Organization
Contact information
Practice address
15400 MCNICHOLS ST, DETROIT, MI 48235
(313) 340-4300
Mailing address
3800 WOODWARD AVE., SUITE 600, DETROIT, MI 48201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H24842
BCBSM GROUP NUMBER
MI
Enumeration date
03/15/2007
Last updated
08/22/2020
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