Individual
DR. ROBERT BRUCE BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2301 75TH ST, KENOSHA, WI 53143-1403
(262) 654-6005
(262) 654-5989
Mailing address
2301 75TH ST, KENOSHA, WI 53143-1403
(262) 654-6005
(262) 654-5989
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1496
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38525800
—
WI
Enumeration date
09/20/2006
Last updated
11/25/2009
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