Individual
DERRICK DARNELL GILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29935 NORTHWESTERN HWY, SOUTHFIELD, MI 48034-1020
(248) 356-6590
Mailing address
18415 NEW HAMPSHIRE DR, SOUTHFIELD, MI 48075-2736
(248) 499-4912
(248) 559-2208
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
MI
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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