| Doctor Name: | DR. DANA LOWENTHAL |
| NPI Number: | 1376808493 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 5101020806 |
| Business Practice Address: | 31205 Wellington Dr # 25101 Novi, MI - 483774212 |
| Business Phone Number: | 2486971893 |
| Business Fax Number: | |
| Mailing Address: | 31205 Wellington Dr, # 25101 NOVI |
| State: | MI |
| Postal Code: | 483774212 |
| Phone Number: | 2486971893 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2012 |
| NPI Last Update Date: | 12/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5101020806 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |