Individual
DR. SHANNA O. BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
747 E COUNTY LINE RD STE G, GREENWOOD, IN 46143-1082
(317) 528-2020
(317) 528-2039
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01055904A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200445730A
—
IN
Enumeration date
05/09/2006
Last updated
03/21/2023
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