Organization
WEST MICHIGAN ENT PC
Active
Other names
West Michigan ENT & Allergy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BOWEN M.D. (PRESIDENT)
(269) 267-2941
Entity
Organization
Contact information
Practice address
1450 FARR RD, SUITE 5000, NORTON SHORES, MI 49444-9770
(231) 739-9095
(231) 722-5147
Mailing address
1450 FARR RD, SUITE 5000, NORTON SHORES, MI 49444-9770
(231) 739-9095
(231) 722-5147
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI6945
MEDICARE PTAN
MI
Enumeration date
05/02/2013
Last updated
07/05/2016
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