Milton G Mutchnick (NPI# 1407894579, PAC ID# 5193637510) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1407894579 |
| PAC ID by PECOS | 5193637510 |
| Professional Enrollment ID | I20041102000916 |
| Full Name | Milton G Mutchnick |
| Organization Legal Name | UNIVERSITY PHYSICIAN GROUP |
| Address |
4160 John R St Suite 917 Detroit MI 48201-2017 |
| Phone Number | 3137454525 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1967 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 8628087681 |
| Number of Group Practice Members | 359 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230104 | HARPER UNIVERSITY HOSPITAL |
| 230273 | DETROIT RECEIVING HOSPITAL |
| 230297 | KARMANOS CANCER CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4160 John R St, Suite 917, Detroit, MI 48201-2017 | 3137454525 | UNIVERSITY PHYSICIAN GROUP |
| Organization Legal Name | UNIVERSITY PHYSICIAN GROUP |
| Physicians | 393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony M Parendo | Ophthalmology | University Physician Group | 4717 Saint Antoine St, Detroit, MI 48201-1423 |
| Julia Helene Bellamy | Psychologist, Clinical | University Physician Group | 3901 Walter P Chrysler Service Dr, Tolan Park, Detroit, MI 48201-2167 |
| Shira Heisler | Pediatric Medicine | University Physician Group | 50 E Canfield, Suite 101 S, Detroit, MI 48201-1804 |
| John David Cramer | Otolaryngology | University Physician Group | 26400 W Twelve Mile Rd, Suite 111, Southfield, MI 48034-1771 |
| Bahig Shehata | Pathology | University Physician Group | 3901 Beaubien St 1st Floor Main Bldg, Detroit, MI 48201-2119 |
| Daniel E Montenegro | Ophthalmology | University Physician Group | 15055 Plaza S Dr, Taylor, MI 48180-5202 |
| Golbon Aghamohammadi | Nurse Practitioner | University Physician Group | 1420 Stephenson Hwy, Suite 200, Troy, MI 48083-1189 |
| Michael Matthew Dominello | Radiation Oncology | University Physician Group | 4100 John R St, Detroit, MI 48201-2013 |
| Ijeoma Onyema Nnodim | Internal Medicine | University Physician Group | 50 E Canfield St, Detroit, MI 48201-1804 |
| Edward F Mischel | Clinical Social Worker | University Physician Group | 35425 W Michigan Ave, Wayne, MI 48184-9800 |
| Street Address |
4160 JOHN R ST SUITE 917 |
| City | DETROIT |
| State | MI |
| Zip | 48201-2017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samir Farid Fuleihan | Anesthesiology | University Pain Clinic Associates Pllc | 4160 John R St, Suite 522, Detroit, MI 48201-2021 |
| Charles E Lucas | General Surgery | University Physician Group | 4160 John R St, Suite 615, Detroit, MI 48201-2022 |
| Aris Querol Urbanes | Nephrology | University Physician Group | 4160 John R St, Suite 925, Detroit, MI 48201-2017 |
| Aziz A Alkatib | Cardiovascular Disease (cardiology) | Do Gardi Md PC | 4160 John R St, Suite 724, Detroit, MI 48201-2014 |
| Roozbeh Mansour | General Surgery | University Physician Group | 4160 John R St, Suite 615, Detroit, MI 48201-2022 |
| Anna M Ledgerwood | General Surgery | University Physician Group | 4160 John R St, Suite 615, Detroit, MI 48201-2022 |
| Robert J Hope | Certified Registered Nurse Anesthetist (crna) | University Pain Clinic Associates Pllc | 4160 John R St, Suite 522, Detroit, MI 48201-2021 |
| Obiageri Rita Opara | Nurse Practitioner | Vhs Physicians of Michigan | 4160 John R St, Suite 930, Detroit, MI 48201-2017 |
| Prasad K Cherian | Cardiovascular Disease (cardiology) | Halo Medical Group Pllc | 4160 John R St, Suite 510, Detroit, MI 48201-2021 |
| Andrew Robert Isaacson | General Surgery | University Physician Group | 4160 John R St, Suite 615, Detroit, MI 48201-2022 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Rose Berger Weber | Neurology | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Jennifer R Noble | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Ronald P Ruffing | Emergency Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Charles B Pelshaw | Physical Medicine and Rehabilitation | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Katherine O'brien Cashen | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Angela L Kavenaugh | Emergency Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Deemah R Mahadin | Cardiovascular Disease (cardiology) | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Robert L Conway | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Elizabeth A Secord | Allergy/immunology | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Melissa Y February | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Find all physicians in zip 48201 | |||
| City | DETROIT |
| Zip Code | 48201 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | DETROIT + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Milton G Mutchnick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.