Individual
DR. EDMUND JOSEPH KOWALCHICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
44250 GARFIELD RD, STE 160, CLINTON TOWNSHIP, MI 48038-1150
(586) 228-2255
(586) 228-2740
Mailing address
44250 GARFIELD RD, STE 160, CLINTON TOWNSHIP, MI 48038-1150
(586) 228-2255
(586) 228-2740
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
EK001446
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001446
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102448
PREFERRED/CARE CHOICES
MI
01
—
104183
GREAT LAKES HEALTH PLAN
MI
01
—
1221070004
WELLNESS
MI
01
—
1302112002
CIGNA
MI
01
—
4118378
AETNA
MI
01
—
4616834
MOLINA
MI
05
—
4616834
—
MI
01
—
4855050170
BLUE CARE NETWORK
MI
01
—
C1995
MCARE
MI
01
—
P00141753
RAILROAD MEDICARE
MI
01
—
U11976
HEALTH ALLIANCE PLAN
MI
Enumeration date
06/16/2005
Last updated
01/27/2025
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