Individual
DAVID WARREN LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19117 ALLEN RD STE A, BROWNSTOWN TWP, MI 48183-1066
(734) 676-4040
(734) 676-9897
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
51010O7204
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137629811
—
MI
01
—
4032750
AETNA
MI
01
—
P00717898
RAILROAD MEDICARE
MI
Enumeration date
08/31/2005
Last updated
09/14/2018
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