MICHAEL ALFRED CARRILLO

WAYNE, MI
NPI1295429405
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4351051578)
Enumeration Date2023-06-08
Last Update Date2023-06-08
Business Address
MICHAEL ALFRED CARRILLO
33155 ANNAPOLIS ST
WAYNE, MI 48184-2405
Phone number: 734-467-4000
Mailing Address
MICHAEL ALFRED CARRILLO
18101 OAKWOOD BLVD
DEARBORN, MI 48124-4089
Phone number: 313-982-4351
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