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1699773580

NPI Code Detail

MEDICARE: ANGELA S MOWERY MD

MEDICARE: ANGELA S MOWERY 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
1	207Q00000X	Family Medicine Physician	4301078165	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AM078165	OTHER	MI	BLUE CROSS BLUE SHIELD MI
2	1041941	OTHER		PREFERREDONE
3	901S9MO	OTHER	MN	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699773580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA S MOWERY MD

Provider Business Mailing Address
First Line	:	PO BOX 427
Second Line	:
City	:	HILLMAN
State	:	MI
Zip	:	49746-0427
Country	:	US
Telephone Number	:	989-354-2197
Fax Number	:	989-356-6524

Provider Business Practice Location Address
First Line	:	205 S BRADLEY HWY
Second Line	:
City	:	ROGERS CITY
State	:	MI
Zip	:	49779-2137
Country	:	US
Telephone Number	:	989-734-2052
Fax Number	:	989-734-7390

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	03/23/2011

Similar Medicare Providers

1962455972 — MARION C HAUTEA M.D.
Practice Location Address:

205 S BRADLEY HWY
ROGERS CITY, MI
49779-2137

Practice Phone: 989-734-2052
Practice Fax: 989-734-7390

1447206776 — MICHAEL B FAIRBANKS M.D.
Practice Location Address:

205 S BRADLEY HWY
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49779-2137

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Practice Fax: 989-734-7390

1568795177 — CARRIE ANN STANDEN DNP, PMHNP-BC
Practice Location Address:

205 S BRADLEY HWY
ROGERS CITY, MI
49779-2137

Practice Phone: 989-734-2052
Practice Fax:

1295008217 — JILL P BARSEN P.A.C
Practice Location Address:

205 S BRADLEY HWY
ROGERS CITY, MI
49779-2137

Practice Phone: 989-734-2052
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1992112346 — MR. CODY MICHAEL LAWNICHAK PA-C
Practice Location Address:

205 S BRADLEY HWY
ROGERS CITY, MI
49779-2137

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Practice Fax: 989-734-7390

1679949135 — LINDSAY HUMPHREY
Practice Location Address:

205 S BRADLEY HWY
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49779-2137

Practice Phone: 989-734-2052
Practice Fax: 989-734-7390

Directions to “ ANGELA S MOWERY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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