Individual
RODERICK J GILLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
Mailing address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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