Organization
BIRMINGHAM MEDICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SOWELS PA-C (PHYSICIAN'S ASSISTANT)
(248) 720-0277
Entity
Organization
Contact information
Practice address
306 TOWN CENTER DR, TROY, MI 48084-1742
(248) 720-0277
(248) 720-0276
Mailing address
306 TOWN CENTER DR, TROY, MI 48084-1742
(248) 720-0277
(248) 720-0276
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1156314624
BCBS MICHIGAN
MI
01
—
CJ7818
RR MEDICARE LISA SOWELS
MI
01
—
DD2338
RR MEDICARE ANGELA HAMLIN
MI
Enumeration date
05/10/2007
Last updated
08/22/2020
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