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Individual

MR. MATTHEW J COWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
22 HARTFORD ST, HOULTON, ME 04730-1844
(207) 532-3289
Mailing address
22 HARTFORD ST, HOULTON, ME 04730-1844
(207) 532-3289

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA508
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
247700099
ME
Enumeration date
06/23/2006
Last updated
07/21/2022
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