Individual
AUSTIN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2500 PACKARD ST STE 104A, ANN ARBOR, MI 48104-6827
(734) 707-1052
(734) 661-1887
Mailing address
2855 SANFORD AVE SW # 46334, GRANDVILLE, MI 49418-1342
(734) 707-1052
(734) 661-1887
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5601009517
MI
363AM0700X
Medical Physician Assistant
Primary
5601009517
MI
Other
Enumeration date
09/09/2019
Last updated
09/19/2023
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