Individual
KEVIN E TILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4160 JOHN R ST, STE 1012, DETROIT, MI 48201-2020
(313) 831-6442
(313) 831-6513
Mailing address
4160 JOHN R ST, STE 1012, DETROIT, MI 48201-2020
(313) 831-6442
(313) 831-6513
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001067
MI
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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