Individual
PHILIP R ISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3645 SANDBAR DR, COMMERCE TOWNSHIP, MI 48382-1067
(313) 732-1545
Mailing address
3645 SANDBAR DR, COMMERCE TOWNSHIP, MI 48382-1067
(313) 732-1545
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704244865
MI
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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