Individual
MR. WILLIAM RYDALE ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24424 W MCNICHOLS RD, DETROIT, MI 48219-3653
(313) 531-2500
(313) 255-3465
Mailing address
22580 FRISBEE ST, DETROIT, MI 48219-1864
(248) 469-5306
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381917278
—
MI
Enumeration date
02/20/2013
Last updated
02/02/2022
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