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Individual

JOY M KOWALSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2131 RIDGE DR, LAKE GENEVA, WI 53147-3627
(262) 249-0349
Mailing address
1333 PLEASANT ST, OSAGE, IA 50461-1840
(641) 732-3144

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
066298
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39864600
PROVIDER NUMBER PRIVATE D
WI
Enumeration date
11/01/2006
Last updated
07/08/2007
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