Individual
LALE DOUGLAS COWGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
27185-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30679000
—
WI
Enumeration date
05/11/2006
Last updated
01/06/2017
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