Larry Powell's National Provider Identifier (NPI) Details
Larry Powell, L.P.C
NPI: 1710241799
Enumeration Date: 2012-06-25
Last updated: 2012-06-25
Sole Proprietor: YES
Status: active
Postal Address: 9738 SANILAC ST, DETROIT, MI
Phone: 313-320-3797
Primary Practice Address: 9738 SANILAC ST, DETROIT, MI
Practice's phone: 313-320-3797