Provider Demographics
NPI:1598452484
Name:COWLES, ALICIA AHO (MD)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:AHO
Last Name:COWLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:MAE
Other - Last Name:AHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:HENNEPIN COUNTY MEDICAL CENTER, PSYCHIATRY
Mailing Address - Street 2:701 PARK AVENUE
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415
Mailing Address - Country:US
Mailing Address - Phone:612-873-3000
Mailing Address - Fax:
Practice Address - Street 1:HENNEPIN COUNTY MEDICAL CENTER, PSYCHIATRY
Practice Address - Street 2:701 PARK AVENUE
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415
Practice Address - Country:US
Practice Address - Phone:612-873-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program