Wyandotte Physician Practices
Dermatology in Brownstown Twp, MI. Organization (NPI-2).
NPI number1003077553
StatusActive
Last updated in NPPESJul 7, 2008
Details
- NPI
- 1003077553
- Entity type
- Organization (NPI-2)
- Legal business name
- Wyandotte Physician Practices
- Organization subpart
- No
- Enumeration date
- Jun 18, 2008
- Last updated
- Jul 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Other names
- Downriver Dermatology Center (Doing Business As)
Practice location
23050 West RdSte 240
Brownstown Twp, MI 48183-1472
Phone 734-675-0835 · Fax 734-675-0873
Mailing address
23050 West RdSte 240
Brownstown Twp, MI 48183-1472
Phone 734-675-0835 · Fax 734-675-0873
Authorized official
John E Kibble
Director
3138743436
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