Individual
MR. JAMES ERICK MCKISSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14436 E JEFFERSON AVE, SUITE 201, DETROIT, MI 48215-2925
(313) 933-3737
Mailing address
14436 E JEFFERSON AVE, SUITE 201, DETROIT, MI 48215-2925
(313) 933-3737
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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