Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 34756 | MN |
NPI | 1003922667 |
---|---|
Provider Name | David Lewis Bowlin |
First Address | Edina, MN 55435-2129 |
Second Address | Edina, MN 55435-2129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 03/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1008698 | PREFERRED ONE (01) | MN |
3111320 | PHP PROVIDER NUMBER (01) | MN |
3180156 | MEDICA PRIMARY (01) | MN |
32013200 | WISCONSIN MA (01) | WI |
34Q24BO | BCBS (01) | MN |
361400 | FHP PROVIDER NUMBER (01) | MN |
F77096 | (02) | MN |
HP17805 | HEALTHPARTNERS (01) | MN |