Individual
RUTH H MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2945 HAZELWOOD ST STE 100, MAPLEWOOD, MN 55109-1242
(651) 232-7800
(651) 232-7940
Mailing address
2945 HAZELWOOD ST STE 100, MAPLEWOOD, MN 55109-1242
(651) 232-7800
(651) 232-7940
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001738
IA
363AM0700X
Medical Physician Assistant
Primary
12697
MN
363AM0700X
Medical Physician Assistant
PA22945
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205924156
—
IA
01
—
P00466587
RR MEDICARE
IA
Enumeration date
10/10/2006
Last updated
08/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us