Wyandotte Medical Practices

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WYANDOTTE MEDICAL PRACTICES

Practice address

3333 Biddle Ave
Suite B
Wyandotte, MI 48192

Phone

(734) 282-8650

Fax

(734) 282-8651

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Matthew Wolocko

Title

Director

Phone

(734) 324-3591

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1235350331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BIDDLE ST",
            "address_2": "SUITE C",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926284",
            "telephone_number": "734-282-8650",
            "fax_number": "734-282-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BIDDLE AVE",
            "address_2": "SUITE B",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "48192",
            "telephone_number": "734-282-8650",
            "fax_number": "734-282-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOTTE MEDICAL PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "WOLOCKO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-324-3591"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD2881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyandotte Chiropractic Clinic, PLLC
• Wyandotte Family Dental, PLLC
• Wyandotte Hospital Practices
• Wyandotte Internal Medicine Associates
• Wyandotte Medical Practices
• Wyandotte Medical Practices
• Wyandotte Optical,P.C.
• Wyandotte Pharmacy, Inc.
• Wyandotte Pharmacy, Inc.
• Wyandotte Physical Therapy Associates, Inc.

• Surgery Physician in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.