Individual
DARRELL CHISOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1423 FIELD ST, DETROIT, MI 48214-2321
(313) 728-8015
Mailing address
1423 FIELD ST, DETROIT, MI 48214-2321
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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