Individual
DR. LEON WILLIAM NOWIERSKI
Active
Individual
DR. LEON WILLIAM NOWIERSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M4341
ID
207ND0101X
MOHS-Micrographic Surgery Physician
M4341
ID
207NS0135X
Procedural Dermatology Physician
M4341
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010021230
BLUE SHIELD OF IDAHO
ID
05
—
002586300
—
ID
01
—
43414
BLUE CROSS OF IDAHO
ID
Enumeration date
11/29/2006
Last updated
08/26/2022
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