Individual
DR. MICHAEL PATRICK GOWEN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1870 RESERVOIR ST, HARRISONBURG, VA 22801-8742
(540) 434-6622
(540) 434-4187
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000690
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831170026
—
VA
Enumeration date
11/07/2005
Last updated
01/26/2018
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