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Organization
WYANDOTTE PHYSICIAN PRACTICES
Active
Organization
WYANDOTTE PHYSICIAN PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E KIBBLE (DIRECTOR)
(313) 874-3436
Entity
Organization
Contact information
Practice address
21969 HURON RIVER DR, ROCKWOOD, MI 48173-1237
(734) 379-1906
(734) 379-2265
Mailing address
21969 HURON RIVER DR, ROCKWOOD, MI 48173-1237
(734) 379-1906
(734) 379-2265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301080353
MI
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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