Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD026214E | PA |
NPI | 1013909662 |
---|---|
Provider Name | Dr. Michael William Bowman |
First Address | Cranberry Twp, PA 16066-6218 |
Second Address | Cranberry Twp, PA 16066-6218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 31/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0010663930001 | (05) | PA |
C34550 | (02) |