Individual
MICHAEL C MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 E POLK ST, WASHINGTON, IA 52353
(319) 653-5481
Mailing address
516 AMHURST ST, LIBERTY, MO 64068-2868
(601) 720-1116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2012003064
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
D141888
IA
Other
Enumeration date
12/30/2011
Last updated
09/04/2018
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