Individual
ANGELA S MOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 S BRADLEY HWY, ROGERS CITY, MI 49779-2137
(989) 734-2052
(989) 734-7390
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 354-2197
(989) 356-6524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301078165
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041941
PREFERREDONE
—
05
—
34568700
—
WI
05
—
4641031
—
MI
01
—
901S9MO
BCBS
MN
01
—
AM078165
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
07/13/2005
Last updated
03/23/2011
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