Individual
SAMUEL GOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2945 HAZELWOOD ST STE 200, MAPLEWOOD, MN 55109-1243
(651) 232-7800
Mailing address
2945 HAZELWOOD ST STE 200, MAPLEWOOD, MN 55109-1243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15741
MN
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
03/17/2026
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