Isaac J Powell MD

NPI 1154361608 - Urology - 208800000X

NPI Details
NPI 1154361608
Gender Male
Enumeration Date 06/06/2006
Last Updated 11/06/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
4100 JOHN R ST
KARMANOS CANCER CENTER
DETROIT MI, 48201-2013, US
Phone (800) 527-6266
Fax (313) 966-8207
Business Location
1420 STEPHENSON HWY
SUITE 400-CREDENTIALING
TROY MI, 48083-1189, US
Phone (248) 581-5977
Fax (248) 581-5640
Toxanomy
Taxonomy Code 208800000X
License State Michigan
License Number 4301030253
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According to our database, Isaac J Powell MD NPI is 1154361608, taxonomy code is 208800000X and license number is 4301030253, license state is located at Michigan. Isaac J Powell MD physically located at 4100 John R St, Detroit MI, 48201-2013. NPI Number Isaac J Powell MD has the Individual type.

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1154361608 NPI number is provided on an as is basis without warranty of any kind. 1154361608 is maintained by the National Plan & Provider Enumeration System. The contents of Isaac J Powell MD are for informational purposes only.