Wayne State University Physician Group is a Transplant Surgery Clinic in Detroit, Michigan. It is situated at 4201 St. Antoine St., Detroit and its contact number is 313-745-4525. The authorized person of Wayne State University Physician Group is Mark Juzych
who is President & Ceo, Wayne Health of the clinic and their contact number is 313-448-9006.
Complete Clinic Profile:
Wayne State University Physician Group Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization:
Transplant Surgery
Clinic Address:
4201 St. Antoine St., Detroit, Michigan, 48201
Phone:
313-745-4525
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mark Juzych
Position:
President & Ceo, Wayne Health
Contact Number:
313-448-9006
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Wayne State University Physician Group Clinic are as mentioned below.
NPI Number:
1447299797
NPI Enumeration Date:
05 Jun, 2006
NPI Last Update On:
17 Oct, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wayne State University Physician Group are as mentioned below.
Specialization
License Number
State
Status
Internal Medicine
Primary
Transplant Surgery
Secondary
Allergy & Immunology
Secondary
Anesthesiology
Secondary
Dermatology
Secondary
Emergency Medicine
Secondary
Family Medicine
Secondary
Clinical Genetics (M.D.)
Secondary
Neurological Surgery
Secondary
Obstetrics & Gynecology
Secondary
Ophthalmology
Secondary
Orthopaedic Surgery
Secondary
Otolaryngology
Secondary
Anatomic Pathology & Clinical Pathology
Secondary
Pediatrics
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
23D0685178
Other
Michigan
Clia Compliance Derm
23D0913773
Other
Michigan
Clia - Microscopy Obgyn
23D1080033
Other
Michigan
Clia - Microscopy Fam Med
23D1086626
Other
Michigan
Clia - Waiver Oto
23D1091632
Other
Michigan
Clia Waiver
23D1096986
Other
Michigan
Clia Microscopy
23D0701622
Other
Michigan
Clia - Ppm (moderate Complexity)
23D1040688
Other
Michigan
Clia - Microscopy Urology
23D2054540
Other
Michigan
Clia Registration (high Complexity)
0P30630
Other
Michigan
Medicare Group #
23D1019738
Other
Michigan
Clia - Microscopy Int Med
0P32120
Other
Michigan
Medicare Group # - Md/do Fee Locality 99
23D0650703
Other
Michigan
Clia Compliance Derm
0H22832
Other
Michigan
Bcbsm Group Number
23D0701623
Other
Michigan
Clia - Microscopy Int Med
23D1065430
Other
Michigan
Clia - Waiver Oto
23D2028433
Other
Michigan
Clia - Microscopy Fam Med
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Wayne State University Physician Group 400 Mack Ave Ste 2, Detroit, Michigan
Zip:
48201-2136
Phone Number:
313-448-9006
Patients can reach Wayne State University Physician Group at 4201 St. Antoine St., Detroit, Michigan or can call to book an appointment on 313-745-4525. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.