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) 225-9112
(734) 225-9176
Mailing address
1640 FORT STREET, SUITE D ATTN DENIS, TRENTON, MI 48183
(734) 391-3057
(734) 391-3052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H28864
BLUE CROSS
MI
Enumeration date
10/25/2013
Last updated
01/26/2026
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