Individual
DODDJERRY JEROME MCMILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18461 ONYX ST, SOUTHFIELD, MI 48075-1812
(131) 362-2877
Mailing address
18461 ONYX ST, SOUTHFIELD, MI 48075-1812
(131) 362-2877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704271310
MI
Other
Enumeration date
09/18/2023
Last updated
10/04/2023
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