# WYANDOTTE MEDICAL PRACTICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WYANDOTTE MEDICAL PRACTICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013117670
- **Legal business name:** WYANDOTTE MEDICAL PRACTICES
- **Authorized official:** JOHN KIBBLE (DIRECTOR)
- **Authorized official phone:** (313) 874-3436

## Contact information

- **Practice address:** 3851 WEST RD, SUITE 1, TRENTON, MI 48183-2350
- **Practice address phone:** (734) 671-3248
- **Practice address fax:** (734) 671-1819
- **Mailing address:** 3333 BIDDLE ST, SUITE C, WYANDOTTE, MI 48192-6284
- **Mailing address phone:** (734) 671-3248
- **Mailing address fax:** (734) 671-1819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 5101015620 | MI | Yes |

## Other

- **Enumeration date:** 07/23/2007
- **Last updated:** 07/23/2007