# UNIVERSITY OF DETROIT MERCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University of Detroit Mercy Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669187696
- **Authorized official:** DEBORAH STIEFFEL M.S. (VP FOR ENROLLMENT MANAGEMENT & STUD)
- **Authorized official phone:** (313) 993-1245

## Contact information

- **Practice address:** 4001 W MCNICHOLS RD \# QUAD104, DETROIT, MI 48221-3038
- **Practice address phone:** (313) 993-1185
- **Mailing address:** 4001 W MCNICHOLS RD \# QUAD104, DETROIT, MI 48221-3038
- **Mailing address phone:** (313) 993-1185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2023
- **Last updated:** 01/13/2023