Organization
HENRY FORD WYANDOTTE HOSPITAL
Active
Other names
HFW Center for Weight Management
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB BUDD (DIRECTOR)
(734) 391-3057
Entity
Organization
Contact information
Practice address
1640 FORT STREET, SUITE D ATTN DENISE, TRENTON, MI 48183
(734) 391-3057
(734) 391-3052
Mailing address
3333 BIDDLE AVE, WYANDOTTE, MI 48192-6284
(734) 225-9112
(734) 225-9176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
11/02/2013
Last updated
11/18/2016
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