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Elijah Jack Bowen
Student in an Organized Health Care Education/Training Program in Wauwatosa, Wisconsin
NPI 1982231452

Elijah Jack Bowen is a Student in an Organized Health Care Education/Training Program based in Wauwatosa, WI. Elijah Jack Bowen practices in Wauwatosa, WI. The NPI Number for Elijah Jack Bowen is 1982231452 and holds a License No. (Wisconsin).

The current practice location address for Elijah Jack Bowen is 8701 W Watertown Plank Rd, Wauwatosa, WI and can be reached out via phone at 414-955-8296.

Location: 8701 W Watertown Plank Rd, Wauwatosa, WI, 53226-3548
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982231452
Provider Name
Elijah Jack Bowen
Credential
Provider Entity Type
Individual
Gender
Male
Address
8701 W Watertown Plank Rd, Wauwatosa, WI, 53226-3548
Phone Number
414-955-8296
Fax Number
Provider Enumeration Date
03/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8701 W Watertown Plank Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-3548
Phone Number
414-955-8296
Fax Number
person
Provider Business Mailing Address Details
Address
8701 W Watertown Plank Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-3548
Phone Number
414-955-8296
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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