Provider Demographics
NPI:1750482162
Name:DOWD, JAMES E (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:DOWD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10484 CITATION DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-6565
Mailing Address - Country:US
Mailing Address - Phone:810-225-7553
Mailing Address - Fax:810-225-7558
Practice Address - Street 1:10484 CITATION DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-6565
Practice Address - Country:US
Practice Address - Phone:810-225-7553
Practice Address - Fax:810-225-7558
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJD066359207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3288784Medicaid
MI0P21360Medicare ID - Type Unspecified
MIF90880Medicare UPIN