Graduated: 2017
NPI: 1407366719
Practice Locations (5)
UNIVERSITY PHYSICIAN GROUP
400 MACK AVE
DETROIT, MI 482012136
3134489006
UNIVERSITY PHYSICIAN GROUP
400 MACK AVE, SUITE 2
DETROIT, MI 482012136
3134489006
UNIVERSITY PHYSICIAN GROUP
400 MACK AVE 2, DETROIT MACK HEALTH CENTER
DETROIT, MI 482012136
3134489006
UNIVERSITY PHYSICIAN GROUP
400 MACK AVE 2 WEST-CREDENTIALING DEPT
DETROIT, MI 482012136
UNIVERSITY PHYSICIAN GROUP
4100 JOHN R ST
DETROIT, MI 482012013
8005276266
Source: CMS National Downloadable File, September 2026.