Elijah Jack Bowen is a student in an organized health care education training program in Wauwatosa, WI. The provider is 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. Elijah Jack Bowen NPI is 1982231452. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8701 W WATERTOWN PLANK RD
WAUWATOSA, WI
ZIP 53226-548
Phone: (414) 955-8296
The enumeration date for this NPI number is 3/25/2020 and was last updated on 3/25/2020.