Individual
DENNIS POWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 JOHN ST, M-510, KALAMAZOO, MI 49007-5341
(269) 341-7762
(269) 341-8098
Mailing address
601 JOHN ST, SUITE M-510, KALAMAZOO, MI 49007-5341
(269) 341-7762
(269) 341-8098
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704196401
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003822412
BCBSM
MI
05
—
1548596455
—
MI
Enumeration date
10/28/2009
Last updated
04/11/2022
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