Doctor Name: | MARK BOWERS |
NPI Number: | 1255316691 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 5101015455 |
Business Practice Address: | 200 Hemlock Tawas City, MI - 48763 |
Business Phone Number: | 9893620153 |
Business Fax Number: | 9893624683 |
Mailing Address: | Po Box 779, TAWAS CITY |
State: | MI |
Postal Code: | 487640779 |
Phone Number: | 9893620153 |
Fax Number: | 9893624683 |
NPI Enumeration Date: | 12/08/2005 |
NPI Last Update Date: | 05/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 5101015455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |