Individual
BONNIE J SOWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
048601
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4423874
—
MI
01
—
BS048480
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/08/2006
Last updated
06/05/2008
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