# HENRY FORD WYANDOTTE HOSPITAL

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

## Provider details

- **NPI number:** 1811122096
- **Authorized official:** MR. JAMES MILLER (CFO)
- **Authorized official phone:** (734) 246-6044

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 09/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 500H240580 | BLUE CROSS BLUE SHIELD AND BLUE CARE NETWORK | MI |
