Provider Demographics
NPI:1578549226
Name:BOWMAN, WILLIAM P (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:P
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:595 BARCLAY CIR
Mailing Address - Street 2:STE D
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307
Mailing Address - Country:US
Mailing Address - Phone:248-852-5355
Mailing Address - Fax:248-852-8411
Practice Address - Street 1:595 BARCLAY CIR
Practice Address - Street 2:STE D
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307
Practice Address - Country:US
Practice Address - Phone:248-852-5355
Practice Address - Fax:248-852-8411
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2022-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301046345207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2785103Medicaid
B47606Medicare UPIN
MI2785103Medicaid