Individual
DR. WENDELL J HYINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 N SAINT JOSEPH AVE, ANESTHESIA DEPARTMENT, NILES, MI 49120-2207
(269) 684-1432
(269) 684-0259
Mailing address
PO BOX 458, NILES, MI 49120-0458
(269) 684-0259
(269) 684-0189
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301037510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050A111210
GROUP BCBS PIN
MI
01
—
0M30900
MEDICARE GROUP PTAN
MI
01
—
1356370241
GROUP NPI
MI
05
—
1831143262
—
MI
01
—
M30900008
MEDICARE INDIVIDUAL PTAN
MI
01
—
WH037510
INDIVIDUAL BCBS LICENSE NUMBER
MI
Enumeration date
05/20/2006
Last updated
08/12/2008
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