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Individual

CRAIG L. BOWRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
920 E 28TH ST, SUITE 190, MINNEAPOLIS, MN 55407-1139
(612) 863-1893
(612) 863-3809
Mailing address
PO BOX 43, MR10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36478
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118325700
MN
Enumeration date
03/21/2006
Last updated
04/02/2015
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