Individual
DR. MICHAEL FRANCIS GOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4573 BENES ROAD, GLEN CARBON, IL 64064
(618) 961-1950
Mailing address
2 CARLSON PKWY N, STE 240, PLYMOUTH, MN 55447-4485
(763) 367-7110
(763) 317-1580
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036161428
IL
207ND0101X
MOHS-Micrographic Surgery Physician
036161428
IL
Other
Enumeration date
05/23/2018
Last updated
04/25/2024
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