Organization
UNIVERSITY INTERNAL MEDICINE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL G. MOORE (CAO)
(313) 745-8212
Entity
Organization
Contact information
Practice address
4160 JOHN R ST, SUITE 917, DETROIT, MI 48201-2020
(313) 745-4525
Mailing address
3800 WOODWARD AVE, SUITE 702, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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