Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MAVIS GAIL POOKRUM
Active Sole ProprietorMS. MAVIS GAIL POOKRUM is a Foot & Ankle Surgery healthcare provider located in SOUTHFIELD, Michigan. NPI 1386114742 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1386114742
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2018 (7.7415237307814 yrs)
- Last Updated
- Nov 28, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
21732 COLONY PARK CIRCLE #105SOUTHFIELD, MI, 48076Browse MI providers · Browse ZIP 48076
- Phone
- 3132837838
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| TANESHA SHAWNTAY SMITH | — | 1982277679 |
| TAMIKA JACKSON | — | 1003668203 |
| LANETTE LAJUNE GRIFFIN | — | 1760279517 |
| MRS. ATANGIA BOWMAN | — | 1922996750 |
| MIAKILA ONIRA HARRIS | — | 1427900760 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.