Individual
MICHAEL BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 475-8400
(513) 475-8228
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5507
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000887
OH
363AS0400X
Surgical Physician Assistant
50-000887
OH
Other
Enumeration date
03/08/2006
Last updated
12/11/2017
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