Provider Demographics
NPI:1053025767
Name:STOWIE, GEORGIANA (CPM)
Entity type:Individual
Prefix:MRS
First Name:GEORGIANA
Middle Name:
Last Name:STOWIE
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7199 KALAMAZOO AVE SE STE 234
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316-7362
Mailing Address - Country:US
Mailing Address - Phone:616-546-1992
Mailing Address - Fax:
Practice Address - Street 1:7199 KALAMAZOO AVE SE STE 234
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:MI
Practice Address - Zip Code:49316-7362
Practice Address - Country:US
Practice Address - Phone:616-546-1992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife