Wyandotte Medical Practices

NPI #1124246228 in Wyandotte, Michigan

Provider Information

NPI Number: 1124246228
Entity Type: Organization
Organization Name: Wyandotte Medical Practices
Primary Specialty: Surgery
Enumeration Date: Apr 23, 2007
Last Updated: Nov 12, 2008

Practice Location

Address: 3333 BIDDLE ST
Address 2: STE C
City: Wyandotte
State: Michigan
ZIP Code: 48192-6284
Phone: (734) 285-7420

Authorized Official

Name: MATTHEW WOLOCKO
Title: DIRECTOR
Phone: (734) 324-3591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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