Individual
DR. NICHOLAS C BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
309 MCHENRY ST, BURLINGTON, WI 53105-2123
(262) 763-0117
(262) 763-0119
Mailing address
110 S VINE ST, PRAIRIE CITY, IL 61470-9419
(309) 333-5619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3423-35
WI
Other
Enumeration date
07/07/2010
Last updated
02/26/2019
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