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
4201 ST. ANTOINE, SUITE 5A, DETROIT, MI 48201
(313) 745-4525
Mailing address
3800 WOODWARD AVE., SUITE 702, DETROIT, MI 48201
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
06/05/2006
Last updated
08/22/2020
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