Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRETT RUSSELL WILEY
Active Sole ProprietorMR. BRETT RUSSELL WILEY is a Mental Health Clinic healthcare provider located in FARWELL, Michigan. NPI 1275102493 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · FARWELL, MI
Registration Details
- NPI Number
- 1275102493
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2021 (5.1797605071626 yrs)
- Last Updated
- Jun 22, 2021
- License
-
AS180407234 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16 KAPPLINGER DRFARWELL, MI, 486229405Browse MI providers · Browse ZIP 48622
- Phone
- 9895886769
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.