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Organization
HENRY FORD WYANDOTTE HOSPITAL
Active
Organization
HENRY FORD WYANDOTTE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SMITH MD (SVP)
(517) 205-6407
Entity
Organization
Contact information
Practice address
1640 FORT STREET, SUITE D ATTN DENISE, TRENTON, MI 48183
(734) 391-3057
(734) 391-3052
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/16/2014
Last updated
06/10/2025
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