Michael Alfred Carrillo

NPI #1295429405 in Wayne, Michigan

Provider Information

NPI Number: 1295429405
Entity Type: Individual
Name: Michael Alfred Carrillo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Enumeration Date: Jun 8, 2023
Last Updated: Jun 8, 2023

Practice Location

Address: 33155 ANNAPOLIS ST
City: Wayne
State: Michigan
ZIP Code: 48184-2405
Phone: (734) 467-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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