Individual
DR. THEODORE HENRY BOWLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
27121 OAKMEAD DR STE C, PERRYSBURG, OH 43551-2672
(567) 277-8878
(419) 353-4169
Mailing address
27121 OAKMEAD DR STE C, PERRYSBURG, OH 43551-2672
(567) 277-8878
(419) 353-4169
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-001781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340698
—
OH
01
—
H176322
MEDICARE
OH
Enumeration date
07/22/2005
Last updated
04/03/2024
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