MR. Willie James Mcconico JR., GENERALIST

NPI #1245125053 in Lincoln Park, Michigan

Provider Information

NPI Number: 1245125053
Entity Type: Individual
Name: MR. Willie James Mcconico JR., GENERALIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: GENERALIST
Enumeration Date: Jun 11, 2025
Last Updated: Jun 11, 2025

Practice Location

Address: 1605 FORT ST
City: Lincoln Park
State: Michigan
ZIP Code: 48146-1915
Phone: (313) 382-7861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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