Individual
CODY JAMES BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4692
(616) 685-6922
(616) 685-5101
Mailing address
300 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4692
(616) 685-6922
(616) 685-5101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301103807
MI
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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