Individual
AMY BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 231-0025
Mailing address
10352 YORK LN, BLOOMINGTON, MN 55431-3264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10134
MN
Other
Enumeration date
07/05/2006
Last updated
11/10/2020
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