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Willie Burrell
NPI 1356589261 · on the registry since 2009 · sole proprietor
Practice
- Address
- 13627 Gratiot Ave
Detroit, MI 48205 - Phone
- (313) 521-0206
- Organisation at this address
- Metro East
Target Population Services, IncInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Case Management Agency
251B00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan