Individual provider · Type 1 NPI

Michael Scott Bawks

Pediatric Nurse Practitioner · Royal Oak, MI

NPI number 1568715076 Active

Practice location

3555 W 13 Mile Rd Ste N300
Royal Oak, MI 48073-6710

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704262600 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1568715076

Michael Scott Bawks's National Provider Identifier is 1568715076, issued on Oct 22, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Royal Oak, MI. The record was last updated on Oct 2, 2023.