Organization Name: | HENRY FORD WYANDOTTE HOSPITAL |
NPI Number: | 1093901035 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRY GOODBALIAN (CFO) |
Mailing Address: | 2333 Biddle St Wyandotte |
State: | MI US |
Postal Code: | 481924668 |
Phone Number: | 7342466000 |
Fax Number: | 7342466986 |
NPI Enumeration Date: | 09/24/2007 |
NPI Last Update Date: | 07/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 826849 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |