Basic Information
| Provider Information | |||||||||
| NPI: | 1235557034 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COWHERD | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 160 DENTAL CIR # 7075 | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199665205 | ||||||||
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| Practice Location | |||||||||
| Address1: | 160 DENTAL CIR # 7075 | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275995021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199665205 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2014 | ||||||||
| LastUpdateDate: | 06/17/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | DR.0058546 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 2018-00948 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.