OrganizationActive
Wyandotte Physician Practices
NPI 1003077553 · Dermatology Physician · Brownstown Twp, MI
Provider details
- NPI number
- 1003077553
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Kibble, Director(313) 874-3436
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
23050 West Rd
Ste 240
Brownstown Twp, MI 48183-1472
Phone: (734) 675-0835
Fax: (734) 675-0873
Approximate (ZIP-level) locationGet directions
Mailing address
23050 West Rd
Brownstown Twp, MI 48183-1472
Other names (DBA / former)
- Doing business as
- Downriver Dermatology Center
Registry dates
- Enumerated
- 2008-06-18
- Last updated
- 2008-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.