Organization
HENRY FORD WYANDOTTE HOSPITAL
Active
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 AVE, WYANDOTTE, MI 48192-4668
(734) 246-8990
(734) 324-3615
Mailing address
1 FORD PL STE 2E, DETROIT, MI 48202-3450
(734) 891-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
05/10/2012
Last updated
03/06/2024
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