Individual
DR. MICHAEL JAY STOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 W 2ND ST, BLOOMINGTON, IN 47403-2217
(812) 334-3955
(812) 334-5792
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01044682A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01044682A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540031
MEDICARE
IN
01
—
163460045
MEDICARE PTAN
IN
05
—
200086880
—
IN
Enumeration date
12/14/2005
Last updated
06/08/2023
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