| Willie B Gibson Md Pc | |
|
18300 W Mcnichols Rd Detroit MI 48219-4162 | |
| (313) 535-9366 | |
| Not Available |
| Full Name | Willie B Gibson Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 18300 W Mcnichols Rd, Detroit, Michigan |
| Authorized Official Name and Position | Lee Ann Odom (PRESIDENT SHARED SERVICES) |
| Authorized Official Contact | 9475223326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willie B Gibson Md Pc 26901 Beaumont Blvd Compliance Southfield MI 48033-3849 Ph: (947) 522-1964 | Willie B Gibson Md Pc 18300 W Mcnichols Rd Detroit MI 48219-4162 Ph: (313) 535-9366 |
| NPI Number | 1457641011 |
|---|---|
| Provider Enumeration Date | 04/15/2011 |
| Last Update Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457641011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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