Individual
TODD BOWERSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45211 HELM ST, PLYMOUTH, MI 48170-6023
(734) 525-9671
Mailing address
5801 S MCCLINTOCK DR STE 110, TEMPE, AZ 85283-6002
(480) 777-0607
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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