# HENRY FORD WYANDOTTE HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144634403
- **Authorized official:** MARK SMITH MD (SVP)
- **Authorized official phone:** (517) 205-6407

## Contact information

- **Practice address:** 1640 FORT STREET, SUITE D ATTN DENISE, TRENTON, MI 48183
- **Practice address phone:** (734) 391-3057
- **Practice address fax:** (734) 391-3052
- **Mailing address:** 2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
- **Mailing address phone:** (734) 246-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 06/16/2014
- **Last updated:** 06/10/2025