Wayne State University Physician Group

LBN: University Physician Group
Wayne State University Physician Group is an health care organization with primary practice located at 1455 S Lapeer Rd Suite 110, Lake Orion MI 48360-1468. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. University Physician Group can be contacted via phone (248) 814-7139, or through Stiller, Diane K via phone (248) 581-5943.

Contact Information

Primary practice address
1455 S Lapeer Rd Suite 110 Lake Orion MI 48360-1468
Phone: (248) 814-7139
Fax: (248) 814-7997
Website:
Map and Directions
Authorized official contact:
Name: Stiller, Diane K
Phone: (248) 581-5943

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 4301054761 Michigan

Profile Details

NPI number 1215379938
LBN Legal business name University Physician Group
DBA Doing business as Wayne State University Physician Group
Authorized official Stiller, Diane K
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2013
Last updated Jun 1st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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