Provider Demographics
NPI:1386667046
Name:SHOWERMAN, PATRICIA Z (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:Z
Last Name:SHOWERMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:205 W GRAND RIVER AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-1659
Mailing Address - Country:US
Mailing Address - Phone:810-225-7773
Mailing Address - Fax:810-225-7774
Practice Address - Street 1:205 W GRAND RIVER AVE
Practice Address - Street 2:STE 200
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-1659
Practice Address - Country:US
Practice Address - Phone:810-225-7773
Practice Address - Fax:810-225-7774
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIPS009521207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080D710850OtherBCBS
080D710850OtherBCBS