Individual
TERRY R BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 INVESTMENT DR, SUITE 200, TROY, MI 48098-6365
(248) 267-5050
(248) 267-5051
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301061775
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060049961
MEDICARE RAILROAD
MI
01
—
0606322521
BLUE CROSS BLUE SHIELD OF MI
MI
05
—
3505320
—
MI
Enumeration date
11/25/2005
Last updated
10/23/2020
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