Individual
JUSTIN LLOYD HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(800) 653-6568
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 876-9490
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704300861
MI
Other
Enumeration date
07/10/2018
Last updated
02/03/2025
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