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Organization

HENRY FORD WYANDOTTE HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES MILLER (CFO)
(734) 246-6044
Entity
Organization

Contact information

Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 324-3516
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 324-3516

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
363L00000X
Nurse Practitioner
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
500H240580
BLUE CROSS BLUE SHIELD AND BLUE CARE NETWORK
MI
Enumeration date
05/18/2009
Last updated
09/28/2012
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