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Organization
UNIVERSITY PHYSICIAN GROUP
Active
Organization
UNIVERSITY PHYSICIAN GROUP
Active
Other names
Wayne State University Physician Group, Wayne Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S JUZYCH MD (CEO)
(877) 929-6342
Entity
Organization
Contact information
Practice address
400 MACK AVE STE 2, DETROIT, MI 48201-2136
(313) 448-9006
Mailing address
400 MACK AVE STE 2, DETROIT, MI 48201-2136
(313) 448-9006
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H22832
BCBSM GROUP NUMBER
MI
01
—
0P30630
MEDICARE GROUP #
MI
01
—
0P32120
MEDICARE GROUP # - MD/DO FEE LOCALITY 99
MI
01
—
23D0650703
CLIA COMPLIANCE DERM
MI
01
—
23D0685178
CLIA COMPLIANCE DERM
MI
01
—
23D0701622
CLIA - PPM (MODERATE COMPLEXITY)
MI
01
—
23D0701623
CLIA - MICROSCOPY INT MED
MI
01
—
23D0913773
CLIA - MICROSCOPY OBGYN
MI
01
—
23D1019738
CLIA - MICROSCOPY INT MED
MI
01
—
23D1040688
CLIA - MICROSCOPY UROLOGY
MI
01
—
23D1065430
CLIA - WAIVER OTO
MI
01
—
23D1080033
CLIA - MICROSCOPY FAM MED
MI
01
—
23D1086626
CLIA - WAIVER OTO
MI
01
—
23D1091632
CLIA WAIVER
MI
01
—
23D1096986
CLIA MICROSCOPY
MI
01
—
23D2028433
CLIA - MICROSCOPY FAM MED
MI
01
—
23D2054540
CLIA REGISTRATION (HIGH COMPLEXITY)
MI
Enumeration date
06/05/2006
Last updated
02/10/2026
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