Individual
DR. IAN JOSEPH KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6816 GRIFFIN RD, DAVIE, FL 33314-4341
(786) 864-0425
Mailing address
453 SW 169TH TER, WESTON, FL 33326-1530
(954) 300-7688
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
OS14568
FL
208VP0000X
Pain Medicine Physician
OS14568
FL
Other
Enumeration date
10/13/2016
Last updated
05/26/2019
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