Individual
DR. JON C. BOWERSOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 260-2976
Mailing address
1531 ESPLANADE, CHICO, CA 95926-3310
(530) 332-5335
(530) 893-6889
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
63678-20
WI
2086S0127X
Trauma Surgery Physician
G72140
CA
2086S0129X
Vascular Surgery Physician
G72140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164488946
—
WI
05
—
2690655
—
OH
Enumeration date
04/21/2006
Last updated
08/11/2023
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