Individual
MEGAN BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
8405861-1205
UT
2086S0102X
Surgical Critical Care Physician
Primary
8405861-1205
UT
Other
Enumeration date
03/27/2011
Last updated
09/28/2020
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