# UNIVERSITY SURGEONS

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

## Provider details

- **NPI number:** 1770515041
- **Authorized official:** TOM FALK (ADMINISTRATOR)
- **Authorized official phone:** (313) 745-4771

## Contact information

- **Practice address:** 4160 JOHN R ST., SUITE 615, DETROIT, MI 48201
- **Practice address phone:** (313) 745-4195
- **Mailing address:** 3800 WOODWARD AVE., SUITE 702, DETROIT, MI 48201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | — | NULL | — |
| 204F00000X | Transplant Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | — |
| 2086S0102X | Surgical Critical Care Physician | — | — | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |
| 2086S0127X | Trauma Surgery Physician | — | NULL | — |
| 2086S0127X | Trauma Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 09/11/2025
