Individual
DR. MICHAEL BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3310 FALL HILL AVE, FREDERICKSBURG, VA 22401-3000
(540) 373-4602
(540) 310-0100
Mailing address
3310 FALL HILL AVE, FREDERICKSBURG, VA 22401-3000
(540) 373-4602
(540) 310-0100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0103301202
VA
213E00000X
Podiatrist
016005558
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301202
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
016005558
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005558
—
IL
Enumeration date
07/28/2010
Last updated
01/30/2026
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