Provider Demographics
NPI:1679917538
Name:UNITED PHYSICIANS
Entity Type:Organization
Organization Name:UNITED PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, CARE MANAGEMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-593-0100
Mailing Address - Street 1:30800 TELEGRAPH RD STE 2800
Mailing Address - Street 2:
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-5704
Mailing Address - Country:US
Mailing Address - Phone:248-593-0100
Mailing Address - Fax:248-593-0200
Practice Address - Street 1:30800 TELEGRAPH RD STE 2800
Practice Address - Street 2:
Practice Address - City:BINGHAM FARMS
Practice Address - State:MI
Practice Address - Zip Code:48025-5704
Practice Address - Country:US
Practice Address - Phone:248-593-0100
Practice Address - Fax:248-593-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704248417163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty