Individual
DR. TAMARA M BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342
(248) 338-5516
(248) 338-5547
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5516
(248) 338-5547
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
059128
GA
207P00000X
Emergency Medicine Physician
Primary
5101015454
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01057454
AMERIGROUP
GA
05
—
598549056
—
GA
05
—
598549056A
—
GA
05
—
598549056B
—
GA
05
—
598549056C
—
GA
05
—
598549056D
—
GA
05
—
598549056E
—
GA
05
—
598549056G
—
GA
05
—
G59128
—
SC
Enumeration date
09/25/2006
Last updated
07/19/2018
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