Phillip Wayne Jewell

NPI #1922653286 in Highland Park, Michigan

Provider Information

NPI Number: 1922653286
Entity Type: Individual
Name: Phillip Wayne Jewell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 5, 2019
Last Updated: Aug 5, 2019

Practice Location

Address: 16300 WOODWARD AVE
City: Highland Park
State: Michigan
ZIP Code: 48203-2882
Phone: (313) 365-7211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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