Individual
JENNIFER ANN COWGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD # K14, DETROIT, MI 48202-2608
(313) 916-2966
(313) 916-8799
Mailing address
2799 W GRAND BLVD # K14, DETROIT, MI 48202-2608
(313) 916-2966
(313) 916-8799
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
4301083365
MI
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
4301083365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386762565
—
MI
Enumeration date
03/27/2007
Last updated
06/29/2020
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