Organization
DAVID W LOWRY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WARREN LOWRY MD (PRESIDENT)
(616) 738-4420
Entity
Organization
Contact information
Practice address
3299 NORTH WELLNESS DR, SUITE 240 BUILDING C, HOLLLAND, MI 49424
(616) 738-4420
(616) 738-4432
Mailing address
3299 NORTH WELLNESS DR, SUITE 240 BUILDING C, HOLLLAND, MI 49424
(616) 738-4420
(616) 738-4432
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301075621
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104721043
—
MI
01
—
1407010792
BCBSM MI
MI
01
—
DL075621
STATE LICENSE #
MI
01
—
ST003962
STATE LICENSE #
MI
Enumeration date
05/15/2006
Last updated
06/25/2008
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