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WYANDOTTE PHYSICIAN PRACTICES NPI 1316203102


NPI Information

NPI: 1316203102
Provider Name: WYANDOTTE PHYSICIAN PRACTICES

Doing Business As: DOWNRIVER INTERNIST PC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
15450 NORTHLINE RD STE 101
SOUTHGATE, MI
ZIP 48195
Phone: (734) 224-3679
Get Directions

WYANDOTTE PHYSICIAN PRACTICES is an internal medicine in Southgate, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WYANDOTTE PHYSICIAN PRACTICES NPI is 1316203102. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Downriver Internist Pc.

The provider's business location address is:

15450 NORTHLINE RD STE 101
SOUTHGATE, MI
ZIP 48195-490
Phone: (734) 224-3679
Fax: (734) 287-9926

The provider's authorized official is Jacob Budd .
The authorized official title is Director Physician Practices and has the following contact phone number (734) 391-3057.

The enumeration date for this NPI number is 4/5/2012 and was last updated on 6/20/2018.


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
1207R00000XInternal Medicine4301048664MICHIGANYes

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
1=========OTHERMICHIGANTAX ID

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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