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Mr. Brett Russell Wiley
Mental Health Clinic/Center (Including Community Mental Health Center) in Farwell, Michigan
NPI 1275102493

Brett Russell Wiley is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Farwell, MI and is specialized in Mental Health (Including Community Mental Health Center). Brett Russell Wiley practices in Farwell, MI. The NPI Number for Brett Russell Wiley is 1275102493 and holds a License No. AS180407234 (Michigan).

The current practice location address for Brett Russell Wiley is 16 Kapplinger Dr, Farwell, MI and can be reached out via phone at 989-588-6769.

Location: 16 Kapplinger Dr, Farwell, MI, 48622-0129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275102493
Provider Name
Brett Russell Wiley
Credential
Provider Entity Type
Individual
Gender
Male
Address
16 Kapplinger Dr, Farwell, MI, 48622-0129
Phone Number
989-588-6769
Fax Number
Provider Enumeration Date
06/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16 Kapplinger Dr
City
Farwell
State
Michigan
Zip
48622-9405
Phone Number
989-588-6769
Fax Number
person
Provider Business Mailing Address Details
Address
16 Kapplinger Dr
City
Farwell
State
Michigan
Zip
48622-9405
Phone Number
989-588-6769
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
AS180407234 (Michigan)
Definition
Definition to come...
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