MICHAEL ALFRED CARRILLO

LIVONIA, MI
NPI1295429405
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4351051578)
Enumeration Date2023-06-08
Last Update Date2026-05-29
Business Address
MICHAEL ALFRED CARRILLO
29200 SCHOOLCRAFT RD
LIVONIA, MI 48150-2228
Phone number: 734-523-1050
Mailing Address
MICHAEL ALFRED CARRILLO
29200 SCHOOLCRAFT RD
LIVONIA, MI 48150-2228
Phone number: 734-523-1050