PERRIS STALLWORTH

Technician

Active Individual
NPI: 1134815368

Practice Address

2925 RUSSELL ST
Detroit, MI 48207

Phone: (313) 396-5300

Specialties

Specialty Code Primary License
Technician 374700000X Yes -

Frequently Asked Questions

NPI 1134815368 is the National Provider Identifier for PERRIS STALLWORTH, a Technician provider located in Detroit, MI. This NPI was enumerated on April 12, 2023.
PERRIS STALLWORTH practices at 2925 RUSSELL ST, Detroit, MI 48207.

Quick Facts

NPI
1134815368
Type
Individual
Enumerated
Apr 12, 2023
Last Updated
Apr 12, 2023

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