Individual
TIMOTHY JOHN KOWALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
220 BESSEMER RD, MT PLEASANT, PA 15666-9122
(724) 547-2000
(724) 547-0727
Mailing address
220 BESSEMER RD, MT PLEASANT, PA 15666-9122
(724) 547-2000
(724) 547-0727
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002607-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001051102
—
PA
Enumeration date
01/05/2006
Last updated
03/10/2008
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