Individual
DR. AVA ANN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
36175 HARPER AVE, CLINTON TWP, MI 48035-3274
(586) 464-0731
(586) 464-1954
Mailing address
36175 HARPER AVE, CLINTON TWP, MI 48035-3274
(586) 464-0731
(586) 464-1954
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
070529
GA
2085R0202X
Diagnostic Radiology Physician
Primary
5101017313
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137958A
—
GA
05
—
003137966A
—
GA
01
—
52609286001
BCBSGA
GA
01
—
52609286002
BCBSGA
GA
01
—
P01224298
RAILROAD MEDICARE
GA
Enumeration date
02/26/2009
Last updated
03/04/2021
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