Individual
MR. STEVE CORL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-3975
Mailing address
6615 JUNCTION RD, BRIDGEPORT, MI 48722-9728
(989) 274-4714
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704201243
MI
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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