Organization

University Internal Medicine Specialists

Legal Business Name

University Internal Medicine Specialists

NPI Number

1790819001

NPI Type

Organization

Enumeration Date

03/16/2007

Specialties

(Taxonomies)

Code

207R00000X
208000000X

Primary Taxonomy

No
No

Contact
Information

Purpose

Mailing
Location

Address

3800 WOODWARD AVE.
50 E. CANFIELD

City

Detroit
Detroit

State

MI
MI

Postal Code

48201
48201

Country

US
US

Telephone Number

N/A
(313) 745-4525

Authorized Official

Name

Jill Moore

Title or Position

ADMINISTRATOR

Telephone Number

(313) 745-8212

Identifiers

Identifier

0H24767

Identifier State

MI

Identifier Issuer

BCBSM GROUP NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address