Individual
DONNA BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
23077 GREENFIELD RD STE 200, SOUTHFIELD, MI 48075-3750
(313) 824-1000
(248) 569-9151
Mailing address
23077 GREENFIELD RD STE 200, SOUTHFIELD, MI 48075-3750
(313) 824-1000
(248) 569-9151
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
MI
Enumeration date
09/15/2022
Last updated
09/15/2022
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