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Dexter Tyler Powell, MD
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1497319511

Dexter Tyler Powell is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Dexter Tyler Powell practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Dexter Tyler Powell is 1497319511 and holds a License No. (Michigan).

The current practice location address for Dexter Tyler Powell is 22250 Providence Drive, Southfield, MI and can be reached out via phone at 866-974-2673 and via fax at 866-939-2673. You can also correspond with Dexter Tyler Powell through the mailing address at 22250 PROVIDENCE DRIVE, SOUTHFIELD, MI - 48075-4818 (mailing address contact number: 866-974-2673).

Location: 22250 Providence Drive, Southfield, MI, 48075-4818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497319511
Provider Name
Dexter Tyler Powell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22250 Providence Drive, Southfield, MI, 48075-4818
Phone Number
866-974-2673
Fax Number
866-939-2673
Provider Enumeration Date
04/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22250 Providence Drive
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
866-974-2673
Fax Number
866-939-2673
person
Provider Business Mailing Address Details
Address
22250 Providence Drive
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
866-974-2673
Fax Number
866-939-2673
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Michigan)
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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