Michael Scott Bawks
Nurse Practitioner, Pediatrics in Royal Oak, MI. Individual provider (NPI-1).
NPI number1568715076
StatusActive
Last updated in NPPESOct 2, 2023
Details
- NPI
- 1568715076
- Entity type
- Individual (NPI-1)
- Name
- Michael Scott Bawks
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2012
- Certification date
- Oct 2, 2023
- Last updated
- Oct 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 4704262600 | MI | Yes |
Practice location
3555 W 13 Mile Rd Ste N300Royal Oak, MI 48073-6710
Phone 248-551-3302
Mailing address
26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone 947-522-0688
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