Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Perris J Stallworth

Individual provider Technician · NPI 1134815368

Perris J Stallworth is a Technician in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

2925 Russell St
Detroit, MI 48207-4825
Phone: (313) 396-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician (primary) Taxonomy 374700000X

Record details

NPI number1134815368
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 12, 2023
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address16530 Bramell St, Detroit, MI 48219-3754

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