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NPI Code Detail

MEDICARE: MEAGAN BRIDGET BOWER MD

MEDICARE: MEAGAN BRIDGET BOWER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35-071283OH

General Provider Information

NPI Number : 1184742090
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN BRIDGET BOWER MD
Provider Business Mailing Address
First Line : 36115 SCHOOLCRAFT RD
Second Line :
City : LIVONIA
State : MI
Zip : 48150-1216
Country : US
Telephone Number : 734-464-0887
Fax Number : 734-402-0254
Provider Business Practice Location Address
First Line : 20311 PEMBERVILLE RD
Second Line : SUITE B
City : PEMBERVILLE
State : OH
Zip : 43450-9413
Country : US
Telephone Number : 419-833-1118
Fax Number : 419-833-1128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 09/12/2014

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