Individual
DR. CHRISTOPHER MICHAEL KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2235 DUBOIS DR, WARSAW, IN 46580-3212
(574) 371-2625
(260) 479-2904
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3513
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01045128
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053382226
—
MI
05
—
200098030
—
IN
05
—
2038306
—
OH
Enumeration date
01/27/2006
Last updated
05/17/2021
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