Individual
DR. MATTHEW ALLEN BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 FARR RD, NORTON SHORES, MI 49444-9738
(231) 739-9095
(231) 739-6439
Mailing address
1450 FARR RD, NORTON SHORES, MI 49444-9738
(231) 739-9095
(231) 739-6439
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301102283
MI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
4301102283
MI
207YX0602X
Otolaryngic Allergy Physician
4301102283
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI6945001
PTAN
MI
Enumeration date
06/30/2008
Last updated
07/12/2021
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