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Individual

GREGORY S COWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
425 WIND RIDGE DR, WAUSAU, WI 54401-4149
(715) 675-3391
(715) 675-5255
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2343
WI

Other

Enumeration date
06/27/2006
Last updated
04/27/2009
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