Organization
WYANDOTTE PHYSICIAN PRACTICES
Active
Other names
Downriver Dermatology Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E KIBBLE (DIRECTOR)
(313) 874-3436
Entity
Organization
Contact information
Practice address
23050 WEST RD, STE 240, BROWNSTOWN TWP, MI 48183-1472
(734) 675-0835
(734) 675-0873
Mailing address
23050 WEST RD, STE 240, BROWNSTOWN TWP, MI 48183-1472
(734) 675-0835
(734) 675-0873
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/18/2008
Last updated
07/07/2008
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