Provider Demographics
NPI:1952390957
Name:WRIGHT, HOWARD M (DO)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:M
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3133 S TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3472
Mailing Address - Country:US
Mailing Address - Phone:313-565-6566
Mailing Address - Fax:313-561-5554
Practice Address - Street 1:3133 S TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3472
Practice Address - Country:US
Practice Address - Phone:313-565-6566
Practice Address - Fax:313-561-5554
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2022-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIHW007561207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1387925Medicaid
MIHW007561OtherSTATE LICENSE
MIE33143Medicare UPIN
MIHW007561OtherSTATE LICENSE