Organization
HENRY FORD WYANDOTTE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SMITH MD (SVP)
(517) 205-6407
Entity
Organization
Contact information
Practice address
2333 BIDDLE ST, WYANDOTTE, MI 48192-4668
(734) 324-3697
(734) 324-3425
Mailing address
2333 BIDDLE ST, WYANDOTTE, MI 48192-4668
(734) 324-3697
(734) 324-3425
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430H264610
BCBS
MI
01
—
7092585
AETNA
MI
01
—
AN820015
MCARE
MI
Enumeration date
06/10/2006
Last updated
03/06/2024
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