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Michael Scott Bawks
Pediatric Nurse Practitioner in Royal Oak, Michigan
NPI 1568715076

Michael Scott Bawks is a Pediatric Nurse Practitioner based in Southfield, MI and is specialized in Pediatrics. Michael Scott Bawks practices in Royal Oak, MI. The NPI Number for Michael Scott Bawks is 1568715076 and holds a License No. 4704262600 (Michigan).

The current practice location address for Michael Scott Bawks is 3555 W 13 Mile Rd Ste N300, Royal Oak, MI and can be reached out via phone at 248-551-3302.

Location: 3555 W 13 Mile Rd Ste N300, Royal Oak, MI, 48033-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568715076
Provider Name
Michael Scott Bawks
Credential
Provider Entity Type
Individual
Gender
Male
Address
3555 W 13 Mile Rd Ste N300, Royal Oak, MI, 48033-3849
Phone Number
248-551-3302
Fax Number
Provider Enumeration Date
10/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3555 W 13 Mile Rd Ste N300
City
Royal Oak
State
Michigan
Zip
48073-6710
Phone Number
248-551-3302
Fax Number
person
Provider Business Mailing Address Details
Address
3555 W 13 Mile Rd Ste N300
City
Royal Oak
State
Michigan
Zip
48073-6710
Phone Number
248-551-3302
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
4704262600 (Michigan)
Definition
Definition to come...
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