MEDICARE: JOHN EVAN TOWER DO

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	207RR0500X	Rheumatology Physician	5101009426	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1234880420106	OTHER	MI	HUMANA
2	383265423	OTHER	MI	PPOM
3	383265423	OTHER	MI	COMMERCIAL INSURANCES
4	383265423 0005	OTHER	MI	CIGNA
5	5631272	OTHER	MI	BLUE CROSS BLUE SHIELD
6	00044467956	OTHER	MI	AETNA
7	383265423	OTHER	MI	UNITED HEALTH CARE
8	383265423	OTHER	MI	HARRINGTON BENIFITS

General Provider Information

NPI Number	:	1558329359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN EVAN TOWER DO

Provider Business Mailing Address
First Line	:	1701 SOUTH BLVD E STE 110
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-6118
Country	:	US
Telephone Number	:	248-853-0803
Fax Number	:	248-852-5859

Provider Business Practice Location Address
First Line	:	1701 SOUTH BLVD E STE 110
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-6118
Country	:	US
Telephone Number	:	248-853-0803
Fax Number	:	248-852-5859

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	12/03/2025

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Directions to “ JOHN EVAN TOWER DO” Practice Location

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