Individual
DR. BRIAN BOWDITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1535 GULL RD, MSB 015, KALAMAZOO, MI 49048-1650
(269) 226-6933
(269) 226-6949
Mailing address
1535 GULL RD, MSB 015, KALAMAZOO, MI 49048-1650
(269) 226-6933
(269) 226-6949
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301053609
MI
207Q00000X
Family Medicine Physician
4301053609
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0807510731
BC BS OF MI
MI
05
—
104155782
—
MI
05
—
1437101300
—
MI
05
—
3172340-10
—
MI
01
—
700G560080
BCBS GROUP-THREE RIVERS HEALTH
MI
01
—
BB053609
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/17/2006
Last updated
02/04/2011
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