Individual
JERRY PERRETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13111 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 309-0362
Mailing address
1135 W EUCLID ST, DETROIT, MI 48202-1921
(313) 600-0267
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
11/14/2025
Last updated
11/19/2025
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