Individual
BRANDON W BOWDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-9515
(812) 353-9275
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02006670A
IN
207P00000X
Emergency Medicine Physician
5101025769
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/02/2018
Last updated
06/28/2022
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