NPI 1265817340

Mary Bowers

Practitioner Point of Service Clinton Township, MI

Practice location

Address: 21885 Dunham Rd, Clinton Township, MI 48036-1030
Phone: (586) 469-5950

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 6401014842 (MI)

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Registry record

NPI: 1265817340
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2015
Record last updated: 30 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.