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Organization
UNIVERSITY PHYSICIAN GROUP
Active
Organization
UNIVERSITY PHYSICIAN GROUP
Active
Other names
Wayne State University Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA CHANEY (PROJECT LEAD, PHARMACY)
(248) 581-5429
Entity
Organization
Contact information
Practice address
1560 E MAPLE RD, SUITE 400, TROY, MI 48083-1138
(248) 581-5429
(248) 581-5644
Mailing address
1560 E MAPLE RD, SUITE 400, TROY, MI 48083-1138
(248) 581-5429
(248) 581-5644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000000000
MI
Other
Enumeration date
06/04/2014
Last updated
06/14/2016
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