Healthcare Provider Details

I. General information

NPI: 1922540756
Provider Name (Legal Business Name): MICHAEL FLOWERS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2016
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 POND ROAD
ALLENTOWN PA
18104-2253
US

IV. Provider business mailing address

1517 POND ROAD
ALLENTOWN PA
18104-2253
US

V. Phone/Fax

Practice location:
  • Phone: 610-395-4444
  • Fax: 610-366-7886
Mailing address:
  • Phone: 610-395-4444
  • Fax: 610-366-7886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA058592
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA058592
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: