Provider Demographics
NPI:1669714416
Name:BOWMAN, ARTHUR JOHN (MPH, NCTMB)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:JOHN
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:MPH, NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5615 JOHN R RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3858
Mailing Address - Country:US
Mailing Address - Phone:248-703-6450
Mailing Address - Fax:
Practice Address - Street 1:5615 JOHN R RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3858
Practice Address - Country:US
Practice Address - Phone:248-703-6450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI591258-10171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor