Individual
WILLIAM L COWARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 SIXTH AVE NORTH, ST CLOUD, MN 58303
(320) 252-5131
(320) 240-2118
Mailing address
1200 SIXTH AVE NORTH, ST CLOUD, MN 58303
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
30744
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05201999
MMSI
—
01
—
108083100
MEDICAL ASSISTANCE
—
01
—
108497
U CARE
—
01
—
2114037
FIRST HEALTH PLAN
—
01
—
30744
MN LICENSE NUMBER
—
01
—
3129213
MEDICAL HEALTH PLANS
—
01
—
600905
ARAZ GROUP AMERICAS PPO
—
01
—
6D058CO
BLUE CROSS BLUE SHIELD
—
01
—
986004
PREFERRED ONE
—
Enumeration date
11/02/2005
Last updated
03/07/2023
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