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Individual
MICHELLE JAN BOWER
Active
Individual
MICHELLE JAN BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061204
PA
363A00000X
Physician Assistant
OA005116
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037524780001
—
PA
01
—
1A2930
MEDICARE
PA
Enumeration date
01/14/2020
Last updated
02/06/2026
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