Individual
DAVID MICHAEL KOWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
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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