Individual
MS. KAREN C MAGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-3157
(248) 465-3784
Mailing address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-3157
(248) 465-3784
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601005688
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200107998
AETNA PPO
—
Enumeration date
09/07/2005
Last updated
01/05/2016
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