Individual
ELLEN BOWLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10905 RIDGE VIEW TRL, FENTON, MI 48430-4030
(860) 208-1701
Mailing address
10905 RIDGE VIEW TRL, FENTON, MI 48430-4030
(860) 208-1701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
869613
MI
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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