Wyandotte Medical Practice

NPI 1518261957 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1518261957
Enumeration Date 12/28/2010
Last Updated 09/30/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JACOB JACOB
Position ADMINISTRATOR OUTPATIENT SERVICES
Phone (734) 282-3600
Fax (734) 282-3603
Practice Location
15675 NORTHLINE RD
SOUTHGATE MI, 48195-2334, US
Phone (734) 282-3600
Fax (734) 282-3603
Business Location
15675 NORTHLINE RD
SOUTHGATE MI, 48195-2334, US
Phone (734) 282-3600
Fax (734) 282-3603
Toxanomy
Taxonomy Code 207V00000X
License State
License Number
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According to our database, Wyandotte Medical Practice NPI is 1518261957, taxonomy code is 207V00000X Wyandotte Medical Practice physically located at 15675 Northline Rd, Southgate MI, 48195-2334. NPI Number 1033115704 has the healthcare provider type.

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1518261957 NPI number is provided on an as is basis without warranty of any kind. 1518261957 is maintained by the National Plan & Provider Enumeration System. The contents of Wyandotte Medical Practice are for informational purposes only.