Wyandotte Physician Practices

NPI #1679883672 in Brownstown Twp, Michigan

Provider Information

NPI Number: 1679883672
Entity Type: Organization
Organization Name: Wyandotte Physician Practices
Primary Specialty: Surgery
Enumeration Date: Oct 12, 2010
Last Updated: Oct 12, 2010

Practice Location

Address: 23050 WEST RD
Address 2: STE 260
City: Brownstown Twp
State: Michigan
ZIP Code: 48183-1472
Phone: (734) 284-4309

Authorized Official

Name: MIKE ANCTIL
Title: ADMINISTRATOR, OUTPATIENT SERVICES
Phone: (734) 246-8803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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