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General NPI Number Information
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NPI Number | 1356356984
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Entity Type | Organization
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Legal Business Name | HENRY FORD WYANDOTTE HOSPITAL
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 23050 WEST RD
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City | BROWNSTOWN TWP
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State | MI
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Zip | 48183-1472
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Country | US
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Telephone | 734-671-1499
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Fax | 734-671-1578
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Provider Business Mailing Address
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Address Line | 23050 WEST RD
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City | BROWNSTOWN TWP
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State | MI
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Zip | 48183-1472
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Country | US
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Telephone | 734-671-1499
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Fax | 734-671-1578
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Authorized Official
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Title or Position | VP PHARMACY
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Name | DAN KUS
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Credential | RPH
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Telephone | 248-723-0255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 53105025306
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License Number State | MI
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