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Organization

HENRY FORD WYANDOTTE HOSPITAL

Active
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Organization

HENRY FORD WYANDOTTE HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES MILLER (CFO)
(734) 246-6044
Entity
Organization

Contact information

Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 324-3516
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 324-3516

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
NULL
363L00000X
Nurse Practitioner
Primary
—
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500H240580
BLUE CROSS BLUE SHIELD AND BLUE CARE NETWORK
MI
Enumeration date
05/18/2009
Last updated
09/28/2012
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