Wyandotte Physician Practices

NPI #1952550774 in Allen Park, Michigan

Provider Information

NPI Number: 1952550774
Entity Type: Organization
Organization Name: Wyandotte Physician Practices
Primary Specialty: Surgery
Enumeration Date: Sep 17, 2008
Last Updated: Sep 17, 2008

Practice Location

Address: 15101 SOUTHFIELD RD
City: Allen Park
State: Michigan
ZIP Code: 48101-2697
Phone: (248) 489-4502

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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