Individual
DR. BRYAN S MICHALOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2500 COMO AVENUE, ST. PAUL, MN 55108-1460
(651) 429-2299
(651) 429-6630
Mailing address
2500 COMO AVENUE, ST. PAUL, MN 55108-1460
(651) 647-2500
(651) 632-8984
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10028
MN
Other
Enumeration date
12/18/2006
Last updated
01/05/2015
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