Individual
DR. WILLIE B GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18300 W MCNICHOLS RD, DETROIT, MI 48219-4162
(313) 535-9366
(313) 534-1970
Mailing address
18300 W MCNICHOLS RD, DETROIT, MI 48219-4162
(313) 535-9366
(313) 534-1970
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301035487
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098127
—
MI
Enumeration date
01/28/2007
Last updated
12/06/2009
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