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DR. MICHAEL B MCGOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
8600 NICOLLET AVE, BLOOMINGTON, MN 55420
(952) 884-1148
(952) 886-7016
Mailing address
PO BOX 1309, MAIL CODE 21113A, MINNEAPOLIS, MN 55440-1309
(952) 883-5151
(952) 883-5160

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10381
MN

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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