Individual
RANDEE MCGOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2855 CAMPUS DR, PLYMOUTH, MN 55441-2649
(763) 577-7179
Mailing address
6457 SHADYVIEW LN N, MAPLE GROVE, MN 55311-1383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9424
MN
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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