Wyandotte Physician Practices
Wyandotte Physician Practices is a Surgery Physician in Allen Park, Michigan. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
15101 Southfield RdAllen Park, MI 48101-2697
Phone: (248) 489-4502
Fax: (248) 489-4503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X |
|---|
Record details
| NPI number | 1952550774 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Kibble — Director · (313) 874-3436 |
| NPI enumerated | September 17, 2008 |
| Last updated in NPPES | September 17, 2008 |
| Mailing address | Po Box 674102, Detroit, MI 48267-4102 |
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M. Redwan Kubaisi, MD
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M. Redwan Kubaisi MD PC
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Sham L Gupta MD PC
15101 Southfield Rd Ste 102, Allen Park, MI 48101-2697 · (313) 389-9950