Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 4704279234 | MI |
NPI | 1003231655 |
---|---|
Provider Name | Claire Mcdowell |
First Address | Grand Blanc, MI 48439-1840 |
Second Address | Grand Blanc, MI 48439-1840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2014 |
Last Update Date | 19/02/2014 |