Individual
MARK BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 HEMLOCK, TAWAS CITY, MI 48763
(989) 362-0153
(989) 362-4683
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(989) 362-0153
(989) 362-4683
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101015455
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01052278
AMERIGROUP
GA
05
—
310981343A
—
GA
05
—
310981343B
—
GA
05
—
310981343C
—
GA
05
—
310981343D
—
GA
05
—
310981343E
—
GA
05
—
310981343F
—
GA
05
—
4709960
—
MI
05
—
G59129
—
SC
Enumeration date
12/08/2005
Last updated
05/23/2008
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