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Individual

MICHELLE M BOWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1400 E CARROLL ST, SUITE B, MACOMB, IL 61455-1801
(309) 833-2500
(309) 833-1760
Mailing address
PO BOX 198, OQUAWKA, IL 61469-0198
(309) 867-2202
(309) 867-2789

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085004266
IL

Other

Enumeration date
06/29/2009
Last updated
02/27/2013
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