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Individual

MICHAEL JEROME WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
19460 WHITCOMB ST, DETROIT, MI 48235-2059
(313) 953-1170
(313) 731-1844
Mailing address
6659 SCHAEFER RD STE 1073, DEARBORN, MI 48126-1812
(313) 403-3900
(313) 731-1844

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7924786
PROVIDER HOME HELP
MI
05
7924786
MI
Enumeration date
08/05/2019
Last updated
08/05/2019
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