Individual
MYLES LAYNE MOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MBA
Contact information
Practice address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036172206
IL
2085R0202X
Diagnostic Radiology Physician
5151015205
MI
2085R0204X
Vascular & Interventional Radiology Physician
5151015205
MI
208600000X
Surgery Physician
5151015205
MI
Other
Enumeration date
04/20/2021
Last updated
01/20/2026
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