SearchMichigan164W00000X

Gabriel Mckinnon, LPN

NPI 1427617588 · on the registry since 2019

Practice

Address
14550 Grandville Ave
Detroit, MI 48223
Phone
(313) 415-6151

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
372500000X
374U00000X
405300000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-06-11

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