Wyandotte Physician Practices

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WYANDOTTE PHYSICIAN PRACTICES

Practice address

23050 West Rd
Ste 240
Brownstown TWP, MI 48183-1472

Phone

(734) 675-0835

Fax

(734) 675-0873

NPI assigned

Jun 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John E Kibble

Title

Director

Phone

(313) 874-3436

Specialties & licenses 1

Addresses

Other names 1

• Downriver Dermatology Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1003077553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23050 WEST RD",
            "address_2": "STE 240",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831472",
            "telephone_number": "734-675-0835",
            "fax_number": "734-675-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23050 WEST RD",
            "address_2": "STE 240",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831472",
            "telephone_number": "734-675-0835",
            "fax_number": "734-675-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOTTE PHYSICIAN PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "KIBBLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-874-3436"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downriver Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Winter
• Christina Gough Wood, D.O.
• Woodward Detroit CVS, L.L.C.
• Debbie D Woody Vitale, DPM
• Siu Hiu Wu, PHARM. D.
• Wyandotte Physician Practices
• Melissa Wylie, D.O.
• Mariam Shabaan Yasin, PHARMD
• Laal S. Zada, DPM
• Shannon J Ziriada, FNP-BC

• Dermatology Physician in Brownstown TWP, MI
• Providers in Brownstown TWP, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.