WYANDOTTE MEDICAL PRACTICE NPI 1518261957

NPI Information

  • NPI: 1518261957
  • Provider Name: WYANDOTTE MEDICAL PRACTICE
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: NORTHLINE WOMANS HEALTH
  • Address: 15675 NORTHLINE RD
    SOUTHGATE, MI
    ZIP 48195
  • Phone: (734) 282-3600

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NPI Details

WYANDOTTE MEDICAL PRACTICE is an obstetrics gynecology in Southgate, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WYANDOTTE MEDICAL PRACTICE NPI is 1518261957. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Northline Womans Health.

The provider's business location address is:

15675 NORTHLINE RD
SOUTHGATE, MI
ZIP 48195-334
Phone: (734) 282-3600
Fax: (734) 282-3603

The provider's authorized official is Jacob Budd .
The authorized official title is Administrator Outpatient Services and has the following contact phone number (734) 246-8803.

The enumeration date for this NPI number is 12/28/2010 and was last updated on 9/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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