Individual
BETH ANN BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1030 HARRINGTON ST, STE 101, MOUNT CLEMENS, MI 48043-2967
(586) 468-8500
(586) 468-7997
Mailing address
1030 HARRINGTON ST, STE 101, MOUNT CLEMENS, MI 48043-2967
(586) 468-8500
(586) 468-7997
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
BB407260
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325532610
—
MI
Enumeration date
11/15/2005
Last updated
12/15/2009
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