Individual
THEODIUS HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28940 BIRCHWOOD ST, INKSTER, MI 48141-1112
(313) 829-7741
Mailing address
28940 BIRCHWOOD ST, INKSTER, MI 48141-1112
(313) 829-7741
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/29/2015
Last updated
03/09/2020
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