Organization
LOWELL MEDICAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DAWSON (OFFICE MANAGER)
(616) 897-8436
Entity
Organization
Contact information
Practice address
1150 N HUDSON ST, LOWELL, MI 49331-1000
(616) 897-8436
(616) 897-5364
Mailing address
1150 N HUDSON ST, LOWELL, MI 49331-1000
(616) 897-8436
(616) 897-5364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301050027
MI
207R00000X
Internal Medicine Physician
4301063084
MI
208000000X
Pediatrics Physician
4301050027
MI
208000000X
Pediatrics Physician
4301063084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D14849
MEDICARE
MI
05
—
103062947
—
MI
05
—
103088774
—
MI
01
—
110089735
MEDICARE RAILROAD
MI
01
—
110110939
MEDICARE RAILROAD
MI
01
—
1104119931
BCBSM
MI
01
—
1104178342
BCBSM
MI
01
—
110D148490
BCBSM
MI
05
—
3062947
—
MI
05
—
3088774
—
MI
01
—
4119931
BCBSM
MI
01
—
4178342
BCBSM
MI
01
—
CB8671
MEDICARE RAILROAD
MI
Enumeration date
02/18/2008
Last updated
04/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us