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Individual

CRYSTAL BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Mailing address
15047 WHITE AVE, ALLEN PARK, MI 48101-2140
(734) 658-0439

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704265243
MI

Other

Enumeration date
04/01/2015
Last updated
11/04/2019
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