# WYANDOTTE HOSPITAL PRACTICES

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

## Provider details

- **NPI number:** 1710119300
- **Authorized official:** MICHAEL DAVID BORK DO (PHYSICIAN OWNER)
- **Authorized official phone:** (734) 246-8895

## Contact information

- **Practice address:** 2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
- **Practice address phone:** (734) 246-8895
- **Mailing address:** 2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
- **Mailing address phone:** (734) 246-8895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MB010520 | MI | Yes |

## Other

- **Enumeration date:** 08/14/2009
- **Last updated:** 06/21/2018