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Individual

DR. ROBERT J KOWALCZUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1528 BRICE ROAD, REYNOLDSBURG, OH 43068
(614) 864-2000
(614) 864-9121
Mailing address
1528 BRICE ROAD, REYNOLDSBURG, OH 43068
(614) 864-2000
(614) 864-9121

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1452
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0728985
OH
Enumeration date
11/15/2006
Last updated
02/24/2012
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