Individual
GARY L. BOWMAN
Active
Individual
GARY L. BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3287
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011908
PREFERREDONE
MN
01
—
110240
UCARE MINNESOTA
MN
01
—
366L4BO
BLUE CROSS/BLUE SHIELD
MN
01
—
61-53881
UNITED BEHAVIORAL HEALTH
MN
01
—
HP48979
HELATHPARTNERS
MN
Enumeration date
06/07/2006
Last updated
07/08/2007
Update your record
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