Wyandotte Physician Practices

NPI #1003077553 in Brownstown Twp, Michigan

Provider Information

NPI Number: 1003077553
Entity Type: Organization
Organization Name: Wyandotte Physician Practices
Primary Specialty: Dermatology
Enumeration Date: Jun 18, 2008
Last Updated: Jul 7, 2008

Practice Location

Address: 23050 WEST RD
Address 2: STE 240
City: Brownstown Twp
State: Michigan
ZIP Code: 48183-1472
Phone: (734) 675-0835

Authorized Official

Name: JOHN E KIBBLE
Title: DIRECTOR
Phone: (313) 874-3436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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