Individual
DERRICK WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-3115
Mailing address
53688 HURON DR, CHESTERFIELD, MI 48051-1685
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704308989
MI
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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