Individual provider · Type 1 NPI

Isaiah Michael Selmon-Miller

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1154119402 Active

Practice location

3901 Beaubien St
Detroit, MI 48201-2196

Call (313) 745-1892 Map

Fax (313) 913-7118

Mailing address

241 16th St Apt 707
Toledo, OH 43604-5499

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154119402

Isaiah Michael Selmon-Miller's National Provider Identifier is 1154119402, issued on Apr 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 28, 2025.