Organization
LIVONIA PUBLIC SCHOOLS SCHOOL DISTRICT
Active
Parent organization
UNIVERSITY PHYSICIAN GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY PHYSICIAN GROUP
Authorized official
DIANA GOODE (WAYNE HEALTH VP OF FINANCE)
(313) 448-9006
Entity
Organization
Contact information
Practice address
8900 NEWBURGH RD, LIVONIA, MI 48150-3425
(734) 744-2650
Mailing address
400 MACK AVE STE 2, DETROIT, MI 48201-2136
(313) 448-9006
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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