Search › Michigan › 106S00000X
Khallid Wooten
NPI 1972313872 · on the registry since 2025 · sole proprietor
Practice
- Address
- 12005 Saint Marys St
Detroit, MI 48227 - Phone
- (313) 439-5644
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Male
- Record last updated
- 2025-01-13
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