Provider Demographics
NPI:1376559237
Name:COWL, DARREN REED (DPM)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:REED
Last Name:COWL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 TETON LN
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-4814
Mailing Address - Country:US
Mailing Address - Phone:507-345-6960
Mailing Address - Fax:507-345-7040
Practice Address - Street 1:65 TETON LN
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-4814
Practice Address - Country:US
Practice Address - Phone:507-345-6960
Practice Address - Fax:507-345-7040
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN695213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN239R5COOtherBCBS PIN
MN27-00387OtherMEDICA INS ST. JAMES LOC.
MN218531027993OtherPREFERRED ONE INS. #
MN2700255OtherSELECT CARE #
MN91843OtherHEALTH PARTNERS #
MN142228OtherUCARE #
MN239R4FAOtherBCBS GROUP
MN426823700Medicaid
MN1701956OtherARAZ/AMERICA'S PPO #
MN27-00255OtherMEDICA INS. MANKATO OFFIC
MN426823700Medicaid
MN239R4FAOtherBCBS GROUP
MN27-00255OtherMEDICA INS. MANKATO OFFIC
MN142228OtherUCARE #
MNU85257Medicare UPIN