Basic Information
Provider Information
NPI: 1104994755
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWELL
FirstName: JAMES
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7214 HOGAN DR
Address2:  
City: YPSILANTI
State: MI
PostalCode: 481976153
CountryCode: US
TelephoneNumber: 7349041184
FaxNumber:  
Practice Location
Address1: 5301 E. HURON RIVER DR.
Address2:  
City: ANN ARBOR
State: MI
PostalCode: 48106
CountryCode: US
TelephoneNumber: 7347124108
FaxNumber: 7347124129
Other Information
ProviderEnumerationDate: 12/01/2006
LastUpdateDate: 06/02/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X4301082884MIY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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