Gibson, Willie B

Gibson, Willie B is an individual health care provider with primary practice located at 18300 W Mcnichols Rd , Detroit MI 48219-4162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gibson, Willie B can be contacted via phone (313) 535-9366.

Contact Information

Primary practice address
18300 W Mcnichols Rd Detroit MI 48219-4162
Phone: (313) 535-9366
Fax: (313) 534-1970
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 4301035487 Michigan

Profile Details

NPI number 1497801609
LBN Legal business name Gibson, Willie B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2007
Last updated Dec 6th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497801609 NPPES
Michigan MEDICAID 1098127

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