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Individual
KAREN ANN BOWMAN
Active
Individual
KAREN ANN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704118158
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N55170003
MEDICARE PLUS BLUE
MI
01
—
1059828
MCLAREN HEALTH ADVANTAGE
MI
01
—
9507249
AETNA
MI
Enumeration date
10/12/2006
Last updated
07/19/2010
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