Individual
DEMETRIUS KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
30075 SPAIN, ROMULUS, MI 48174
(313) 595-9010
(800) 886-4196
Mailing address
30075 SPAIN ST, ROMULUS, MI 48174-3146
(313) 595-9010
(800) 886-4196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704326423
MI
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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