Organization
WYANDOTTE MEDICAL PRACTICES
Active
Parent organization
WYANDOTTE MEDICAL PRACTICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYANDOTTE MEDICAL PRACTICES
Authorized official
JOHN KIBBLE (DIRECTOR)
(313) 874-3436
Entity
Organization
Contact information
Practice address
3851 WEST RD, SUITE 1, TRENTON, MI 48183-2350
(734) 671-3248
(734) 671-1819
Mailing address
3333 BIDDLE ST, SUITE C, WYANDOTTE, MI 48192-6284
(734) 671-3248
(734) 671-1819
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101015620
MI
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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