Individual
SCOTT KOWALEWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(989) 894-3000
Mailing address
1234 DETTLOFF ST, ROGERS CITY, MI 49779-1255
(989) 351-0729
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704290119
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120589
NBCRNA
—
Enumeration date
12/28/2017
Last updated
12/28/2017
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