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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STAN WILLIS
NPI 1710802053
Peer Specialist in Detroit, MI

Active since August 13, 2026
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-5365 Get Directions Write a Review

NPPES record added: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stan Willis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAN WILLIS (NPI 1710802053) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1710802053
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSTAN WILLIS
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address29238 Cambridge StFlat Rock, MI 48134-1404 · (313) 587-7320
Phone(313) 916-5365
Sole ProprietorYes
Enumeration DateAugust 13, 2026
NPPES CertifiedAugust 13, 2026
✔ NPI 1710802053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2799 W GRAND BLVD, Detroit, MI 48202
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY FORD HOSPITAL
General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. BRENT DAVID GRIFFITH M.D.
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KANIKA KHANNA M.D
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
DR. FADL A CHOKR M.D.
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
AVI COHEN M.D.
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
LINDSEY AURORA
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
KYLE KRUPA
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600
ALEXANDER GARBARINO
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Wayne County (313) 916-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stan Willis's NPI number?

The NPI number for Stan Willis is 1710802053. It was assigned to this individual provider in the NPPES registry on August 13, 2026.

Where is Stan Willis located?

Stan Willis practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-5365.

What is Stan Willis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Stan Willis was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.