Individual provider · NPI-1
Dr. Michelle Lee Cowan, MD
Colon & Rectal Surgery · Saint Louis, MO
NPI number1104129642
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1104129642
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michelle Lee Cowan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2010
- Certification date
- Sep 14, 2020
- Last updated
- Apr 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 2024007127 | MO | Yes |
| 208600000X | Surgery | 2024007127 | MO |
Practice location
1 Barnes Jewish Hospital PlzDiv Surg Colon/Rectal
Saint Louis, MO 63110-1003
Phone 314-454-7177 · Fax 888-425-7946
Mailing address
Po Box 7412011Chicago, IL 60674-2011
Phone 314-454-7177 · Fax 888-425-7946
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