Search › Michigan › 103TC0700X
Koyonne Mims, PH.D
NPI 1396095279 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4160 Woodward Ave
Detroit, MI 48201 - Phone
- (313) 757-1922
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-24
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