Provider Demographics
NPI:1285035907
Name:NORWOOD, ARTOSHA
Entity Type:Individual
Prefix:
First Name:ARTOSHA
Middle Name:
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23590 CIVIC CENTER DR
Mailing Address - Street 2:BLDG 125
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-7136
Mailing Address - Country:US
Mailing Address - Phone:248-796-1554
Mailing Address - Fax:
Practice Address - Street 1:23590 CIVIC CENTER DR
Practice Address - Street 2:BLDG 125
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-7136
Practice Address - Country:US
Practice Address - Phone:248-796-1554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other