Organization
WSU PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WRIGHT (MANAGER HUMAN RESOURCES)
(313) 577-8579
Entity
Organization
Contact information
Practice address
4201 ST. ANTOINE - UNIVERSITY HEALTH CENTER, POD 5A, DETROIT, MI 48201
(313) 745-4008
Mailing address
4201 ST. ANTOINE - UNIVERSITY HEALTH CENTER, POD- 4H, DETROIT, MI 48201
(313) 577-4984
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704217349
MI
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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