Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wyandotte Physician Practices

Organization Internal Medicine Physician · NPI 1316203102

Wyandotte Physician Practices is an Internal Medicine Physician in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

15450 Northline Rd Ste 101
Southgate, MI 48195-2490
Phone: (734) 224-3679
Fax: (734) 287-9926
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301048664 (MI)

Record details

NPI number1316203102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Budd — Director Physician Practices · (734) 391-3057
Other names Downriver Internist Pc
NPI enumeratedApril 5, 2012
Last updated in NPPESJune 20, 2018
Mailing address1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183

Other providers in Southgate