person
Devan Higginbotham, MD
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1306409677

Devan Higginbotham is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Devan Higginbotham practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Devan Higginbotham is 1306409677 and holds a License No. (Michigan).

The current practice location address for Devan Higginbotham is 4201 Saint Antoine St # 9-B, Detroit, MI and can be reached out via phone at 313-745-1060 and via fax at 313-745-1520.

Location: 4201 Saint Antoine St # 9-B, Detroit, MI, 48201-2153
person
Provider Profile Details
NPI Number
1306409677
Provider Name
Devan Higginbotham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4201 Saint Antoine St # 9-B, Detroit, MI, 48201-2153
Phone Number
313-745-1060
Fax Number
313-745-1520
Provider Enumeration Date
04/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4201 Saint Antoine St # 9-B
City
State
Zip
48201-2153
Phone Number
313-745-1060
Fax Number
313-745-1520
person
Provider Business Mailing Address Details
Address
4201 Saint Antoine St # 9-B
City
State
Zip
48201-2153
Phone Number
313-745-1060
Fax Number
313-745-1520
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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