| Janet R Bowen, Llc | |
|
1106 4th Ave Woodruff WI 54568-9481 | |
| (715) 358-7727 | |
| (715) 358-7525 |
| Full Name | Janet R Bowen, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1106 4th Ave, Woodruff, Wisconsin |
| Authorized Official Name and Position | Janet R Bowen (NURSE PRACTITIONER) |
| Authorized Official Contact | 7153587727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janet R Bowen, Llc Po Box 754 Woodruff WI 54568-0754 Ph: (715) 358-7727 | Janet R Bowen, Llc 1106 4th Ave Woodruff WI 54568-9481 Ph: (715) 358-7727 |
| NPI Number | 1255770756 |
|---|---|
| Provider Enumeration Date | 06/18/2013 |
| Last Update Date | 03/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255770756 | NPI | - | NPPES |
| 43855700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 57301-030 (Wisconsin) | Primary |
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