Individual provider · Type 1 NPI
Victor D. Harrell, LMSW, PA-C
Medical Physician Assistant · Detroit, MI
NPI number
1922409002
Active
Practice location
6001 W Outer Dr Ste 207
Detroit, MI 48235-2626
Fax (313) 966-7797
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801090790 (MI) |
| Medical Physician Assistant Primary | 363AM0700X | 5601009949 (MI) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1922409002
Victor D. Harrell, LMSW, PA-C's National Provider Identifier is 1922409002, issued on Sep 9, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Detroit, MI. The record was last updated on Apr 23, 2025.