Individual
MR. ERIC R BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 560-1000
(920) 731-6732
Mailing address
2105 E. ENTERPRISE AVE., SUITE 111, APPLETON, WI 54913-7862
(920) 731-6611
(920) 731-6732
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6846-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124080-030
STATE LICENSE
WI
Enumeration date
11/27/2007
Last updated
12/23/2024
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