Individual
MICHAEL SCOTT BAWKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3555 W 13 MILE RD STE N300, ROYAL OAK, MI 48073-6710
(248) 551-3302
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-0688
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704262600
MI
Other
Enumeration date
10/22/2012
Last updated
10/02/2023
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