BRYAN LEE STOWELL

SOUTH BEND, IN
NPI1720460314
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IN  28219432A)
Enumeration Date2015-06-19
Last Update Date2015-08-05
Business Address
Mr. BRYAN LEE STOWELL
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-234-8161
Mailing Address
Mr. BRYAN LEE STOWELL
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-234-8161
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