# UNIVERSITY INTERNAL MEDICINE SPECIALISTS

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

## Provider details

- **NPI number:** 1790819001
- **Authorized official:** JILL G. MOORE (ADMINISTRATOR)
- **Authorized official phone:** (313) 745-8212

## Contact information

- **Practice address:** 50 E. CANFIELD, DETROIT, MI 48201
- **Practice address phone:** (313) 745-4525
- **Mailing address:** 3800 WOODWARD AVE., SUITE 600, DETROIT, MI 48201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0H24767 | BCBSM GROUP NUMBER | MI |