MEDICARE: UNIVERSITY PRIMARY CARE PRACTICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1568581825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY PRIMARY CARE PRACTICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 772040
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48277-2040
Country	:	US
Telephone Number	:	216-383-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	8819 COMMONS BLVD STE 101
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-4102
Country	:	US
Telephone Number	:	216-383-0100
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT, UH CLINICAL NETWORK
Name	:	DR. CHRISTOPHER MILLER
Credential	:	MD
Telephone Number	:	216-844-1636

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	01/20/2021

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