Provider Demographics
NPI:1316278765
Name:LOW, DOROTHY CATHERINE (NP)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:CATHERINE
Last Name:LOW
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:36123 SCHOOLCRAFT RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-1216
Mailing Address - Country:US
Mailing Address - Phone:734-793-6140
Mailing Address - Fax:865-560-8948
Practice Address - Street 1:2585 LAFRANIER RD
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-8972
Practice Address - Country:US
Practice Address - Phone:231-947-9511
Practice Address - Fax:231-947-1250
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-25
Last Update Date:2018-01-23
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Provider Licenses
StateLicense IDTaxonomies
AZAP3507363LA2200X
MI4704127466363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty