Doctor Name: | DR. MATTHEW ALLEN BOWEN |
NPI Number: | 1174785182 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301102283 |
Business Practice Address: | 1450 Farr Rd Norton Shores, MI - 494449738 |
Business Phone Number: | 2317399095 |
Business Fax Number: | 2317396439 |
Mailing Address: | 1450 Farr Rd, NORTON SHORES |
State: | MI |
Postal Code: | 494449738 |
Phone Number: | 2317399095 |
Fax Number: | 2317396439 |
NPI Enumeration Date: | 06/30/2008 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0602X |
License Number: | 4301102283 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngic Allergy |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |