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Demetris Daniels
NPI 1215412416 · on the registry since 2018 · sole proprietor
Practice
- Address
- 18610 Fenkell St
Detroit, MI 48223 - Phone
- (313) 723-6000
- Fax
- (134) 244-0583
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 207R00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan