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Dorrean Michael Nettles, CERTIFICATE
Specialist in Detroit, Michigan
NPI 1578807715

Dorrean Michael Nettles is a Specialist based in Detroit, MI. Dorrean Michael Nettles practices in Detroit, MI and has the professional credentials of CERTIFICATE. The NPI Number for Dorrean Michael Nettles is 1578807715 and holds a License No. (Michigan).

The current practice location address for Dorrean Michael Nettles is 18971 Greenfield Rd, Detroit, MI and can be reached out via phone at 313-837-4748 and via fax at 313-837-3772.

Location: 18971 Greenfield Rd, Detroit, MI, 48235-2908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578807715
Provider Name
Dorrean Michael Nettles
Credential
CERTIFICATE
Provider Entity Type
Individual
Gender
Male
Address
18971 Greenfield Rd, Detroit, MI, 48235-2908
Phone Number
313-837-4748
Fax Number
313-837-3772
Provider Enumeration Date
11/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
225700000 01 MI MASSAGE THERAPIST
193200000X 01 MI MULTI SPECIALITY GROUP
institution
Provider Business Practice Location Address Details
Address
18971 Greenfield Rd
City
Detroit
State
Michigan
Zip
48235-2908
Phone Number
313-837-4748
Fax Number
313-837-3772
person
Provider Business Mailing Address Details
Address
18971 Greenfield Rd
City
Detroit
State
Michigan
Zip
48235-2908
Phone Number
313-837-4748
Fax Number
313-837-3772
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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