Search › Michigan › 1744P3200X
Derrick Gills
NPI 1699375915 · on the registry since 2020 · sole proprietor
Practice
- Address
- 29935 Northwestern Hwy
Southfield, MI 48034 - Phone
- (248) 356-6590
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1744P3200X
1744P3200X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-27
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