Individual
DR. KIM ALAN GOWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1034 W BROADWAY AVE, MEDFORD, WI 54451-1310
(715) 748-4432
Mailing address
PO BOX 389, 1034 W BROADWAY ST, MEDFORD, WI 54451
(715) 748-4432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001790015
WI
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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