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DR. JOHN WESTLEY MAILEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
27645 ALBERT ST, NOVI, MI 48374-1012
(313) 310-6761
Mailing address
27645 ALBERT ST, NOVI, MI 48374-1012
(313) 332-0872
(313) 332-0946

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704199755
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704199755
NURSING ADVANCED PRACTICE LICENSE
MI
Enumeration date
08/18/2020
Last updated
09/11/2024
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