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GEOFFREY TYLER BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-5222
Mailing address
250 E WARD ST APT D-403, MILWAUKEE, WI 53207-1318
(219) 616-8429

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
241099-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
241099
WI
367500000X
Certified Registered Nurse Anesthetist
241099-30
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477144699
WI
Enumeration date
01/30/2021
Last updated
11/04/2024
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