Individual
DR. SALLY R COWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 387-3290
(269) 387-2944
Mailing address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 387-3290
(269) 387-2944
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
4301029642
MI
2083X0100X
Occupational Medicine Physician
4301029642
MI
208D00000X
General Practice Physician
Primary
4301029642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C94735
BCBS
—
Enumeration date
10/13/2006
Last updated
04/18/2008
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