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Organization
WYANDOTTE MEDICAL PRACTICES
Active
Organization
WYANDOTTE MEDICAL PRACTICES
Active
Parent organization
WYANDOTTE MEDICAL PRACTICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYANDOTTE MEDICAL PRACTICES
Authorized official
JOHN KIBBLE (DIRECTOR)
(313) 874-3436
Entity
Organization
Contact information
Practice address
3851 WEST RD, SUITE 1, TRENTON, MI 48183-2350
(734) 671-3248
(734) 671-1819
Mailing address
3333 BIDDLE ST, SUITE C, WYANDOTTE, MI 48192-6284
(734) 671-3248
(734) 671-1819
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101015620
MI
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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