Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Dallis Mark Bowditch, MD

Individual provider Family Medicine Physician · NPI 1790788255

Dr. Dallis Mark Bowditch, MD is a Family Medicine Physician in Logansport, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1201 Michigan Ave Ste 140
Logansport, IN 46947-1580
Phone: (574) 753-1462
Fax: (574) 753-1465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01032465A (IN)

Record details

NPI number1790788255
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESDecember 1, 2015
Mailing address1201 Michigan Ave, Suite 140, Logansport, IN 46947-1580

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