Doctor Name: | RONALD RICARDO BOWDEN |
NPI Number: | 1255660254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | P-C0108 |
Business Practice Address: | 467 N State St Caro, MI - 487231539 |
Business Phone Number: | 9896735700 |
Business Fax Number: | 9896722017 |
Mailing Address: | 443 N State St, CARO |
State: | MI |
Postal Code: | 487231539 |
Phone Number: | 9896726160 |
Fax Number: | 9896725649 |
NPI Enumeration Date: | 12/22/2009 |
NPI Last Update Date: | 12/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | P-C0108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |