Individual
ALLISSA BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1717 S CALHOUN ST, FORT WAYNE, IN 46802-5257
(260) 458-2641
Mailing address
2215 MELBOURNE CT, FORT WAYNE, IN 46804-5841
(765) 714-5308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
07/16/2024
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