Individual
MR. JOHN MICHAEL POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1444 W WILSON RD, CLIO, MI 48420-1644
(810) 687-8721
Mailing address
1444 W WILSON RD, CLIO, MI 48420-1644
(810) 687-8721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704185675
MI
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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