Provider Demographics
NPI:1780815944
Name:BOWERS, PATRICK H JR
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:H
Last Name:BOWERS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAEL
Mailing Address - State:MN
Mailing Address - Zip Code:55376-0157
Mailing Address - Country:US
Mailing Address - Phone:763-497-6975
Mailing Address - Fax:
Practice Address - Street 1:3649 KAHLER DR NE
Practice Address - Street 2:
Practice Address - City:SAINT MICHAEL
Practice Address - State:MN
Practice Address - Zip Code:55376-9165
Practice Address - Country:US
Practice Address - Phone:763-497-6975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies