Individual
DAVID MICHAEL KOWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3092 PIERSON, FLINT, MI 48504-6861
(810) 789-3881
(810) 789-3885
Mailing address
3092 PIERSON RD, FLINT, MI 48504-6861
(810) 789-3881
(810) 789-3885
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5901001427
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134400940
—
MI
05
—
2748413
—
MI
01
—
480033814
RAIL ROAD MEDICARE
MI
05
—
480033814
—
MI
Enumeration date
10/04/2006
Last updated
07/26/2016
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