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WYANDOTTE MEDICAL PRACTICES NPI 1124246228


NPI Information

NPI: 1124246228
Provider Name: WYANDOTTE MEDICAL PRACTICES

Doing Business As: BARIATRIC SURGERY CENTER

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
3333 BIDDLE ST
STE C
WYANDOTTE, MI
ZIP 48192
Phone: (734) 285-7420
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WYANDOTTE MEDICAL PRACTICES is a surgery in Wyandotte, MI. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. WYANDOTTE MEDICAL PRACTICES NPI is 1124246228. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bariatric Surgery Center.

The provider's business location address is:

3333 BIDDLE ST
STE C
WYANDOTTE, MI
ZIP 48192-284
Phone: (734) 285-7420
Fax: (734) 285-7386

The provider's authorized official is Matthew Wolocko .
The authorized official title is Director and has the following contact phone number (734) 324-3591.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 11/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery4301063383MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DD2881OTHERMEDICARE RAILROAD
20P15630MEDICARE PIN
3020H224840OTHERMICHIGANBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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