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Individual
MICHAEL KEITH BOWMAN
Active
Individual
MICHAEL KEITH BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25791
AL
207Y00000X
Otolaryngology Physician
Primary
0101259607
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101259607
—
VA
Enumeration date
03/02/2006
Last updated
01/04/2022
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