Individual provider · Type 1 NPI

Redell Willis

Other Technician · Dearborn, MI

NPI number 1043744956 Active

Practice location

3231 S Gulley Rd, Suite E
Dearborn, MI 48124-4407

Mailing address

620 Germantown Pike
Lafayette Hill, PA 19444-1810

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1043744956

Redell Willis's National Provider Identifier is 1043744956, issued on Apr 18, 2017. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Dearborn, MI. The record was last updated on Apr 18, 2017.