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WAYNE STATE UNIVERSITY PHYSICIAN GROUP
NPI 1619916418
Licensed Practical Nurse in Detroit, MI

Active since June 06, 2006
3901 CHRYSLER DR, TOLAN PARK, DETROIT, MI 48201(888) 362-7792(313) 993-1372 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2016, Jun 14, 2016 (2 updates tracked since 2016).

About Wayne State University Physician Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE STATE UNIVERSITY PHYSICIAN GROUP (NPI 1619916418) is a healthcare organization registered as a licensed practical nurse in Detroit, Michigan and active in the NPI registry since June 2006. The organization lists Jeffery P Kohlitz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1619916418
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameUNIVERSITY PHYSICIAN GROUP
Location Address3901 CHRYSLER DR, TOLAN PARKDetroit, MI 48201-2167
Mailing Address1560 E Maple Rd, Suite 400-credentialing Dept.Troy, MI 48083-1138 · (248) 581-5973 · Fax (248) 581-5640
Phone(888) 362-7792
Fax(313) 993-1372
Organization SubpartNo
Authorized OfficialJeffery P KohlitzChief Financial Officer · (248) 581-5930
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 26, 20162 updates tracked since enumeration
✔ NPI 1619916418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3901 CHRYSLER DR, Detroit, MI 48201
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Other Names 1

Doing Business AsWayne State University Physician Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE WOZNICKI NP
Nurse Practitioner (Women's Health)
3901 CHRYSLER DR
DETROIT, MI 48201
Wayne County (313) 966-7601
DR. AMIRA KAMOO MD
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Wayne County (313) 577-0714
AAYAH MOHAMED-OSMAN DO
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Wayne County (313) 577-7523
DR. REBECCA WIGHT BILICH MD
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Wayne County (734) 546-9524
SANJAY G. REVANKAR M.D.
Internal Medicine (Infectious Disease)
3901 CHRYSLER DR, SUITE 4A
DETROIT, MI 48201
Wayne County (313) 745-4525
SHIVANI ANJALI KAUSHAL MD
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Wayne County (313) 577-7523
GERALD BURNS CNP, ACRN, MSN, CS
Nurse Practitioner (Acute Care)
3901 CHRYSLER DR, SUITE 4A
DETROIT, MI 48201
Wayne County (313) 745-4525
EVA WAINEO MD
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR
DETROIT, MI 48201
Wayne County (313) 577-1396

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Physician Group's NPI number?

The NPI number for University Physician Group is 1619916418. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is doing business as Wayne State University Physician Group.

Where is University Physician Group located?

University Physician Group is located at 3901 Chrysler Dr Tolan Park, Detroit, MI 48201. The listed phone number is (888) 362-7792.

What is University Physician Group's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for University Physician Group was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.