Individual
DR. JOHN WILSON BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11414 W PARK PL, STE 300, MILWAUKEE, WI 53224-3500
(242) 385-4376
(414) 755-7384
Mailing address
11414 W PARK PL, STE 300, MILWAUKEE, WI 53224-3500
(242) 385-4376
(414) 755-7384
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
16094
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30886900
—
WI
Enumeration date
10/02/2006
Last updated
12/14/2016
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