Wyandotte Medical Practices
Surgery in Wyandotte, MI. Organization (NPI-2).
NPI number1235350331
StatusActive
Last updated in NPPESOct 17, 2007
Details
- NPI
- 1235350331
- Entity type
- Organization (NPI-2)
- Legal business name
- Wyandotte Medical Practices
- Organization subpart
- No
- Enumeration date
- May 2, 2007
- Last updated
- Oct 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
3333 Biddle AveSuite B
Wyandotte, MI 48192
Phone 734-282-8650 · Fax 734-282-8651
Mailing address
3333 Biddle StSuite C
Wyandotte, MI 48192-6284
Phone 734-282-8650 · Fax 734-282-8651
Authorized official
Matthew Wolocko
Director
7343243591
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