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Organization
UNIVERSAL HEALTH GROUP, INC
Active
Organization
UNIVERSAL HEALTH GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT PHILIP ZACK D.C. (BOARD MEMBER)
(248) 626-6892
Entity
Organization
Contact information
Practice address
5761 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2270
(248) 626-6892
(248) 855-2477
Mailing address
5761 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2270
(248) 626-6892
(248) 855-2477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101010930
MI
208100000X
Physical Medicine & Rehabilitation Physician
4301064477
MI
Other
Enumeration date
12/11/2006
Last updated
12/11/2008
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