Search › Michigan › 174400000X
Maurice Gambrell
NPI 1578942033 · on the registry since 2015 · sole proprietor
Practice
- Address
- 20055 Southfield Fwy
Detroit, MI 48235 - Phone
- (313) 556-4031
- Organisation at this address
- Success Therapy Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 253Z00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-29
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