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NPI Code Detail

MEDICARE: JOHN E. TOWER DO PC

MEDICARE: JOHN E. TOWER DO PC
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
1207RR0500XRheumatology Physician5101009426MI
2332900000XNon-Pharmacy Dispensing Site

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15631272OTHERMIBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1417151036
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN E. TOWER DO PC
Provider Business Mailing Address
First Line : 1701 E. SOUTH BLVD 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 E. SOUTH BLVD 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 : CEO
Name : DR. JOHN E TOWER
Credential : D.O.
Telephone Number : 248-853-0803
Provider Enumeration Date : 06/14/2007
Last Update Date : 12/08/2025

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