Wayne State University Physician Group is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Dearborn, Michigan. It is situated at 18100 Oakwood Blvd, Suite 300, Dearborn and its contact number is 313-429-7977. The authorized person of Wayne State University Physician Group is Mr. Jeffery P Kohlitz
who is Chief Financial Officer of the store and his/her contact number is 248-581-5930. Primary license number for Wayne State University Physician Group is 4301028224 in Michigan. Wayne State University Physician Group is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Wayne State University Physician Group Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
18100 Oakwood Blvd, Suite 300, Dearborn, Michigan, 48124-4085
Phone:
313-429-7977
Fax:
313-429-7981
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Jeffery P Kohlitz
Position:
Chief Financial Officer
Contact Number:
248-581-5930
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 center are as mentioned below.
NPI Number:
1992044598
NPI Enumeration Date:
04 Feb, 2013
NPI Last Update On:
01 Dec, 2016
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
4301028224
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5717980007
Other
Michigan
Ngs
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 1560 E Maple Rd, Suite 400-credentialing Troy, Michigan
Zip:
48083-1138
Phone Number:
248-581-5973
Fax Number:
248-581-5640
Patients can reach Wayne State University Physician Group at 18100 Oakwood Blvd, Suite 300, Dearborn, Michigan or can call to book an appointment on 313-429-7977. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.