Individual
ISAAC J POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 JOHN R ST, KARMANOS CANCER CENTER, DETROIT, MI 48201-2013
(800) 527-6266
(313) 966-8207
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(800) 527-6266
(313) 576-8381
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301030253
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0821793
BCBSM PIN#
MI
Enumeration date
06/06/2006
Last updated
09/13/2016
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