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Individual

JULIA BOWMAN POPENOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
463 E CIRCLE DR, EAST LANSING, MI 48824-7500
(517) 884-6546
(517) 432-9460
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 884-6546
(517) 432-9460

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301090438
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023089794
MI
05
5208737
MI
Enumeration date
01/30/2006
Last updated
06/26/2023
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