Organization
HENRY FORD WYANDOTTE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIE MARIE SHAW (MEDICAL STUDENT)
(810) 441-4941
Entity
Organization
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-8004
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
PENDING
MI
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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