MEDICARE: DR. MEGAN ELIZABETH STOWERS D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901019644	MI

General Provider Information

NPI Number	:	1134328321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN ELIZABETH STOWERS D.D.S.

Provider Business Mailing Address
First Line	:	5123 W ST JOE HWY
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-4093
Country	:	US
Telephone Number	:	517-321-4254
Fax Number	:	517-321-0729

Provider Business Practice Location Address
First Line	:	5123 W ST JOE HWY
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-4093
Country	:	US
Telephone Number	:	517-321-4254
Fax Number	:	517-321-0729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	07/17/2007

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