Individual
MRS. ELIZABETH MARY BOWERSOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. RD
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/04/2006
Last updated
08/17/2007
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