Carli Gilliam-Wood, QIDP

NPI #1316614233 in Allen Park, Michigan

Provider Information

NPI Number: 1316614233
Entity Type: Individual
Name: Carli Gilliam-Wood, QIDP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: QIDP
Enumeration Date: Aug 27, 2021
Last Updated: Aug 27, 2021

Practice Location

Address: 6375 KOLB AVE
City: Allen Park
State: Michigan
ZIP Code: 48101-2336
Phone: (313) 550-2291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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