Organization
WYANDOTTE HOSPITAL PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID BORK DO (PHYSICIAN OWNER)
(734) 246-8895
Entity
Organization
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-8895
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-8895
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MB010520
MI
Other
Enumeration date
08/14/2009
Last updated
06/21/2018
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