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Individual
MICHAEL COWAN
Active
Individual
MICHAEL COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41281
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031019
PREFERRED ONE
MN
01
—
203T5CO
BLE PLUS
MN
01
—
5720176 00
MN DEPT HUMAN SERVICES
MN
01
—
71B72NO
BLUE CROSS
MN
Enumeration date
11/03/2006
Last updated
11/09/2024
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