Provider Demographics
NPI:1740424290
Name:DOWNING, NEDRA GEAN (DO)
Entity Type:Individual
Prefix:MRS
First Name:NEDRA
Middle Name:GEAN
Last Name:DOWNING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5715 BELLA ROSE BLVD.
Mailing Address - Street 2:STE 100
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348
Mailing Address - Country:US
Mailing Address - Phone:248-625-6677
Mailing Address - Fax:248-625-5633
Practice Address - Street 1:5715 BELLA ROSE BLVD.
Practice Address - Street 2:STE 100
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348
Practice Address - Country:US
Practice Address - Phone:248-625-6677
Practice Address - Fax:248-625-5633
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIMD009576208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice