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NPI Code Detail

MEDICARE: UNIVERSITY PRIMARY CARE PRACTICES, INC.

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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1770602955
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 : 216-383-6480
Fax Number :
Provider Business Practice Location Address
First Line : 254 CLEVELAND AVE STE 110
Second Line :
City : AMHERST
State : OH
Zip : 44001-1620
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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Directions to “UNIVERSITY PRIMARY CARE PRACTICES, INC. ” Practice Location

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