Provider Demographics
NPI:1043270499
Name:HOWELL, TERRY DAVID (MD09/)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:DAVID
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MD09/
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N ANN ARBOR ST
Mailing Address - Street 2:STE D
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1196
Mailing Address - Country:US
Mailing Address - Phone:734-944-0322
Mailing Address - Fax:734-944-0265
Practice Address - Street 1:401 N ANN ARBOR ST
Practice Address - Street 2:D
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1196
Practice Address - Country:US
Practice Address - Phone:734-944-0322
Practice Address - Fax:734-944-0265
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301047452207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine