Individual provider · Type 1 NPI

Mikell Novella Whack

Technician/Technologist · Bingham Frams, MI

NPI number 1194214866 Active

Practice location

32100 Telegraph Rd, Suite 205
Bingham Frams, MI 48025

Call (248) 712-4266 Map

Mailing address

17344 Wisconsin St
Detroit, MI 48221-2502

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

359 other providers at this address

About NPI 1194214866

Mikell Novella Whack's National Provider Identifier is 1194214866, issued on May 8, 2018. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Bingham Frams, MI. The record was last updated on May 8, 2018.