Willie B Gibson Md Pc

NPI 1043549181 - Internal Medicine - 207RE0101X

NPI Details
NPI 1043549181
Enumeration Date 12/21/2009
Last Updated 06/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CHERYL L CHERYL
Position OFFICE MANAGER
Phone (313) 535-9366
Fax (313) 534-1970
Practice Location
18300 W MCNICHOLS RD
DETROIT MI, 48219-4162, US
Phone (313) 535-9366
Fax (313) 534-1970
Business Location
18300 W MCNICHOLS RD
DETROIT MI, 48219-4162, US
Phone (313) 535-9366
Fax (313) 534-1970
Toxanomy
Taxonomy Code 207RE0101X
License State Michigan
License Number 4301035487
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According to our database, Willie B Gibson Md Pc NPI is 1043549181, taxonomy code is 207RE0101X and license number is 4301035487, license state is located at Michigan. Willie B Gibson Md Pc physically located at 18300 W Mcnichols Rd, Detroit MI, 48219-4162. NPI Number 1033115704 has the healthcare provider type.

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1043549181 NPI number is provided on an as is basis without warranty of any kind. 1043549181 is maintained by the National Plan & Provider Enumeration System. The contents of Willie B Gibson Md Pc are for informational purposes only.