Individual
MR. THOMAS CHRISTOPHER KOWALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2301 CONNECTICUT AVENUE SOUTH, SARTELL, MN 56377-2474
(320) 229-1500
(320) 229-1505
Mailing address
2301 CONNECTICUT AVENUE SOUTH, SARTELL, MN 56377-2474
(320) 229-1500
(320) 229-1505
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
41961
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410645800
—
MN
Enumeration date
07/31/2006
Last updated
03/26/2012
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