Basic Information
Provider Information
NPI: 1033478953
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOWGIERT
FirstName: ASHLEY
MiddleName: MIA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GARDNER
OtherFirstName: ASHLEY
OtherMiddleName: MIA
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 24 FRANK LLOYD WRIGHT DR
Address2: PO BOX 0446 LOBBY J
City: ANN ARBOR
State: MI
PostalCode: 481059484
CountryCode: US
TelephoneNumber: 7347476766
FaxNumber: 7342223100
Practice Location
Address1: 4350 JACKSON RD
Address2: SUITE 300
City: ANN ARBOR
State: MI
PostalCode: 481031832
CountryCode: US
TelephoneNumber: 7349952259
FaxNumber: 7349952418
Other Information
ProviderEnumerationDate: 05/12/2012
LastUpdateDate: 12/29/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X4301100389MIY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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