Individual
GWEN MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
24562 CHRISTIAN DR, BROWNSTOWN, MI 48134-9113
(313) 587-7165
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704157067
MI
Other
Enumeration date
01/10/2010
Last updated
02/22/2021
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