Individual
LYNWOOD POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1726 WEEPING WILLOW CT, YPSILANTI, MI 48198-1327
(734) 717-5592
Mailing address
1726 WEEPING WILLOW CT, YPSILANTI, MI 48198-1327
(734) 717-5592
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
P400564157646
MI
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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