| Doctor Name: | MICHAEL W OWENS |
| NPI Number: | 1568768455 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 15455 |
| Business Practice Address: | 1055 S Wells Ave Reno, NV - 895022550 |
| Business Phone Number: | 7753296300 |
| Business Fax Number: | 7753483894 |
| Mailing Address: | 680 S Rock Blvd, RENO |
| State: | NV |
| Postal Code: | 895024113 |
| Phone Number: | 7753296300 |
| Fax Number: | 7753483894 |
| NPI Enumeration Date: | 02/10/2011 |
| NPI Last Update Date: | 04/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15455 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |