| Wyandotte Physician Practices | |
|
21969 Huron River Dr Rockwood MI 48173-1237 | |
| (734) 379-1906 | |
| (734) 379-2265 |
| Full Name | Wyandotte Physician Practices |
|---|---|
| Speciality | Family Medicine |
| Location | 21969 Huron River Dr, Rockwood, Michigan |
| Authorized Official Name and Position | John E Kibble (DIRECTOR) |
| Authorized Official Contact | 3138743436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyandotte Physician Practices 21969 Huron River Dr Rockwood MI 48173-1237 Ph: (734) 379-1906 | Wyandotte Physician Practices 21969 Huron River Dr Rockwood MI 48173-1237 Ph: (734) 379-1906 |
| NPI Number | 1295989564 |
|---|---|
| Provider Enumeration Date | 11/12/2008 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295989564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301080353 (Michigan) | Primary |