# UNIVERSITY INTERNAL MEDICINE SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578502845
- **Authorized official:** JILL G. MOORE (ADMINISTRATOR)
- **Authorized official phone:** (313) 745-8212

## Contact information

- **Practice address:** 4201 ST. ANTOINE, SUITE 5A, DETROIT, MI 48201
- **Practice address phone:** (313) 745-4525
- **Mailing address:** 3800 WOODWARD AVE., SUITE 702, DETROIT, MI 48201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 08/22/2020