NPI 1366832511

Henry Ford Health System

Organisation Clinic/Center Wyandotte, MI

Practice location

Address: 2333 Biddle Avenue Henry Ford Wyandotte Hospital, Wyandotte, MI 48192
Phone: (734) 246-6036
Mailing address: 2333 Biddle Ave. Henry Ford Wyandotte Hospital, Wyandotte, MI 48192-9552

Authorised official

Name: Larry Leise Pack
Title: Orthopaedic Surgeon
Phone: (810) 348-7907

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 43010335400 (MI)

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1366832511
Entity type: Organization
NPI issued: 27 Jan 2015
Record last updated: 27 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.