Individual
MARK A KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 POPLAR ST, SUITE 2, MILLINOCKET, ME 04462-1235
(207) 723-3003
(207) 723-3006
Mailing address
165 POPLAR ST, SUITE 2, MILLINOCKET, ME 04462-1235
(207) 723-3003
(207) 723-3006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
016015
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022326
ANTHEM
ME
01
—
4203395
AETNA US HEALTHCARE
—
01
—
F10120
HARVARD PILGRAM HEALTHCAR
—
Enumeration date
03/23/2006
Last updated
07/09/2007
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