Individual
SHERRI L MACGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2795 120TH ST, WILTON, IA 52778-9335
(563) 732-2192
Mailing address
2795 120TH ST, WILTON, IA 52778-9335
(563) 732-2192
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A5435
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1286500
—
IA
01
—
22562
MIDLANDS CHOICE
IA
01
—
38958
WELLMARK BLUE CROSS BLUE
IA
Enumeration date
05/19/2006
Last updated
07/10/2014
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