Individual
WILLIE HARDWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11341 E MCNICHOLS RD, DETROIT, MI 48234-3930
(313) 473-8764
Mailing address
8471 E OUTER DR, DETROIT, MI 48213-1390
(313) 473-8764
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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