Individual
DESTINY CALLAHAM-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8115 INDIANA ST, DETROIT, MI 48204-3281
(313) 288-0976
Mailing address
8115 INDIANA ST, DETROIT, MI 48204-3281
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
MI
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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