Individual
GERALD K KOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1695 LOR RAY DR, NORTH MANKATO, MN 56003-2804
(507) 387-8231
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30774
MN
Other
Enumeration date
12/02/2005
Last updated
02/01/2024
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