Individual
MR. BOONE S. KOWALIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15752 OAKHILL CT, LIVONIA, MI 48154-2613
(800) 447-6038
(734) 542-4289
Mailing address
15752 OAKHILL CT, LIVONIA, MI 48154-2613
(800) 447-6038
(734) 542-4289
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323939
—
OH
05
—
4431900
—
MI
Enumeration date
10/29/2007
Last updated
10/29/2007
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