Individual
ANTHONY HERBERT COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
208 N COOK RD, MUNCIE, IN 47303-4520
(765) 729-8618
Mailing address
208 N COOK RD, MUNCIE, IN 47303-4520
(765) 729-8618
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27066612A
IN
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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