Healthcare Provider Details

I. General information

NPI: 1508798489
Provider Name (Legal Business Name): PERRY MILTON CABEAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 FRANK LLOYD WRIGHT DR
ANN ARBOR MI
48105-9484
US

IV. Provider business mailing address

1301 ORLEANS ST APT 1301
DETROIT MI
48207-2949
US

V. Phone/Fax

Practice location:
  • Phone: 734-995-6755
  • Fax:
Mailing address:
  • Phone: 336-837-8321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: