GARY L. BOWMAN (NPI# 1750321733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750321733 |
| Entity Type | Individual |
| Full Name | GARY L. BOWMAN |
| Credential | PH.D. |
| Practice Address |
714 Washington Ave Detroit Lakes MN 56501-3012 |
| Mailing Address |
Po Box 267 Orr MN 55771-0267 |
| Practice Telephone | 2188471676 |
| Practice Fax Number | 2188471678 |
| Mailing Telephone | 2188471676 |
| Mailing Fax Number | 2188471678 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP3287 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERREDONE | 1011908 | 01 |
| MN | BLUE CROSS/BLUE SHIELD | 366L4BO | 01 |
| MN | UCARE MINNESOTA | 110240 | 01 |
| MN | UNITED BEHAVIORAL HEALTH | 61-53881 | 01 |
| MN | HELATHPARTNERS | HP48979 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487199071 | Gary Wayne Bowman | Anesthesiology | 16501 N El Mirage Rd, 240, Surprise, AZ 85378-3600 | 2017-01-05 |
| 1558473058 | Gary Wayne Bowman | Family Medicine | 55a S Broadview, Greenbrier, AR 72058 | 2006-08-31 |
| 1497755896 | Gary L Bowman | Pharmacist | 140 Roxboro Rd, Oxford, NC 27565-2642 | 2005-07-28 |
| 1578880514 | Gary J Bowman | Dentist | 2446 Merrick Rd, Bellmore, NY 11710-5704 | 2010-04-30 |
| 1720218548 | Gary Alan Bowman | Chiropractor | 4015 Plainfield Naperville Rd, Suite 105, Naperville, IL 60564-4136 | 2009-07-15 |
| 1427082536 | Gary L Bowman | Radiology | 602 Michigan Avenue, Holland, MI 49423 | 2006-07-11 |
| 1821023748 | Gary G Bowman | Family Medicine | 2285 Sequoia Dr, Aurora, IL 60506-6209 | 2006-07-11 |
| Street Address |
714 WASHINGTON AVE |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932354701 | Whitney Sleep Diagnostics & Consultants, LLC | Durable Medical Equipment & Medical Supplies | 714 Washington Ave, Detroit Lakes, MN 56501-3012 | 2008-11-20 |
| 1578505582 | Courtney M. Rooney | Social Worker | 714 Washington Ave, Detroit Lakes, MN 56501-3012 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578829032 | Carolyn Clara Klehr | Psychologist | 1339 Pelican Ln, Detroit Lakes, MN 56501-2726 | 2012-04-09 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1235177841 | Gail Yvonne Pickett | Psychologist | 1219 Washington Ave, Detroit Lakes, MN 56501-3905 | 2006-06-04 |
| 1760439624 | James J Torkildson | Psychologist | 900 Highway 34 E, Suite A104, Detroit Lakes, MN 56501-2643 | 2006-05-27 |
| 1407124332 | Amy April Missling | Psychologist | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2011-12-06 |
| 1427388040 | Jonathan Michael Aligada | Psychologist | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2010-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
Please comment or provide details below to improve the information on GARY L. BOWMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.