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Organization
WYANDOTTE MEDICAL PRACTICES
Active
Organization
WYANDOTTE MEDICAL PRACTICES
Active
Other names
Riverside Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MILLER (CFO)
(734) 246-6044
Entity
Organization
Contact information
Practice address
1640 FORT ST, SUITE D, TRENTON, MI 48183-2040
(734) 671-6741
(734) 671-1038
Mailing address
PO BOX 674102, DETROIT, MI 48267-4102
(734) 324-3912
(734) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
10/16/2012
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