Individual
EVAN CONNOR KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2060 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-6113
(616) 956-6100
Mailing address
2060 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-6113
(616) 956-6100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.150576
OH
208600000X
Surgery Physician
Primary
4301506958
MI
208600000X
Surgery Physician
Primary
4351045607
MI
Other
Enumeration date
06/28/2019
Last updated
03/12/2026
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