Wyandotte Physician Practices

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

WYANDOTTE PHYSICIAN PRACTICES

Practice address

1848 Biddle Ave
Suite 101
Wyandotte, MI 48192-3962

Phone

(734) 284-2600

Fax

(734) 284-2666

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John E Kibble

Title

Director

Phone

(313) 874-3436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1851547434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674102",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670001",
            "telephone_number": "800-827-3797",
            "fax_number": "248-553-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 BIDDLE AVE",
            "address_2": "SUITE 101",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481923962",
            "telephone_number": "734-284-2600",
            "fax_number": "734-284-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOTTE PHYSICIAN PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2009-06-18",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyandotte Medical Practices
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• Wyandotte Physical Therapy Associates, Inc.
• Wyandotte Urgent Care
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• Diane Wyatt, MSN, RN, AGCNS-BC
• Charles Xin, D.O.
• Jordan Yagiela

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.