Individual
MARY F BOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1479 N RIVER RD, FREMONT, OH 43420-9760
(419) 355-9440
(419) 355-9443
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35073482B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000301960
ANTHEM
OH
05
—
2134532
—
OH
01
—
56-2384971
COMMERCIAL CLAIMS TAX ID
OH
01
—
B73482
SUMMACARE
OH
Enumeration date
02/12/2006
Last updated
04/22/2013
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