Individual
LISA KAYE BOWERSOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
311 W MITCHELL ST, PETOSKEY, MI 49770-2327
(616) 326-0114
(231) 487-6172
Mailing address
116 W MITCHELL ST, STE 1, PETOSKEY, MI 49770-2357
(231) 348-2828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004147
MI
Other
Enumeration date
11/14/2006
Last updated
07/27/2023
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