Mikell Novella Whack
Technician/Technologist
32100 Telegraph Rd Suite 205
Bingham Frams
, Michigan 48025
Mikell Novella Whack
Technician/Technologist
32100 Telegraph Rd Suite 205
Bingham Frams
, Michigan 48025
(313) 753-8629
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Mikell Novella Whack
- 17344 Wisconsin St
- Detroit, MI
- Zip : 48221-2502
- Phone : (313) 753-8629
Second Address
- Mikell Novella Whack
- 32100 Telegraph Rd Suite 205
- Bingham Frams, MI
- Zip : 48025
- Phone : (248) 712-4266
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1194214866 |
|---|---|
| Provider Name | Mikell Novella Whack |
| First Address | Detroit, MI 48221-2502 |
| Second Address | Bingham Frams, MI 48025 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2018 |
| Last Update Date | 08/05/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.