Organization
UNIVERSITY PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE K STILLER (CHIEF FINANCIAL OFFICER)
(248) 581-5943
Entity
Organization
Contact information
Practice address
4700 SCHAEFER RD, SUITE 165, DEARBORN, MI 48126-3698
(313) 945-7724
(313) 945-8731
Mailing address
1560 E. MAPLE RD., SUITE 400-CREDENTIALING DEPT., TROY, MI 48083-1138
(248) 581-5973
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4301054761
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5717980004
NGS
MI
Enumeration date
10/13/2010
Last updated
06/01/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up