Cowan, Mark David

Cowan, Mark David is an individual health care provider with primary practice located at 1414 W Fair Ave Suite 334, Marquette MI 49855-2675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cowan, Mark David can be contacted via phone (906) 225-3870.

Contact Information

Primary practice address
1414 W Fair Ave Suite 334 Marquette MI 49855-2675
Phone: (906) 225-3870
Fax: (906) 225-4861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301052687 Michigan

Profile Details

NPI number 1932144938
LBN Legal business name Cowan, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Aug 22nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932144938 NPPES
Michigan Other 0605200652 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 1901057 BLUE CROSS BLUE SHIELD
Michigan Other 060035383 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 30596900 BLUE CROSS BLUE SHIELD

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