| Willie B Gibson Md Pc | |
|
18300 W Mcnichols Rd Detroit MI 48219-4162 | |
| (313) 535-9366 | |
| (313) 534-1970 |
| Full Name | Willie B Gibson Md Pc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 18300 W Mcnichols Rd, Detroit, Michigan |
| Authorized Official Name and Position | Cheryl L Foster (OFFICE MANAGER) |
| Authorized Official Contact | 3135359366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willie B Gibson Md Pc 18300 W Mcnichols Rd Detroit MI 48219-4162 Ph: (313) 535-9366 | Willie B Gibson Md Pc 18300 W Mcnichols Rd Detroit MI 48219-4162 Ph: (313) 535-9366 |
| NPI Number | 1043549181 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043549181 | NPI | - | NPPES |
| 1098127 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 4301035487 (Michigan) | Primary |
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