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Organization
UNIVERSITY INTERNAL MEDICINE SPECIALISTS
Active
Organization
UNIVERSITY INTERNAL MEDICINE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL G. MOORE (ADMINISTRATOR)
(313) 745-8212
Entity
Organization
Contact information
Practice address
50 E. CANFIELD, DETROIT, MI 48201
(313) 745-4525
Mailing address
3800 WOODWARD AVE., SUITE 600, DETROIT, MI 48201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H24767
BCBSM GROUP NUMBER
MI
Enumeration date
03/16/2007
Last updated
09/11/2025
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