Provider Demographics
NPI:1942484472
Name:DARREN R. COWL DPM LLC
Entity Type:Organization
Organization Name:DARREN R. COWL DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:COWL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:507-345-6960
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN695261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN218531027993OtherPREFERRED ONE
MN27-00387OtherMEDICA
MN9183OtherHEALTHPARTNERS
MN142228OtherUCARE
MN2700255OtherSELECT CARE
MN170956OtherARAZ/AMERICAS PPO
MN27-00255OtherMEDICA
MN218531027993OtherPREFERRED ONE
MN27-00387OtherMEDICA