Search › Michigan › 170300000X
Travis Washburn
NPI 1578032611 · on the registry since 2018
Practice
- Address
- 3031 W Grand Blvd # Blvd-7
Detroit, MI 48202 - Phone
- (313) 916-5114
- Fax
- (313) 916-3115
Registry record
- Primary taxonomy
- 170300000X
170300000X
- Also registered as
- 170300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-19
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