Individual
DR. JEREMY POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-9060
Mailing address
26901 BEAUMONT BLVD, STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
23939
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01064940
MEDICARE RAILROAD
WV
Enumeration date
01/09/2008
Last updated
03/14/2023
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